About this trial
This study aims to further develop an imaging-guided cohort of rare cardiomyopathies based on the existing database. The investigators will standardize the construction of a cohort that integrates a clinical data repository, serum biobank, myocardial tissue bank, and imaging database. In the current cohort, the investigators will systematically screen for biomarkers indicative of pathological changes in challenging cardiomyopathies. Multidimensional data will be integrated to establish and optimize a heart failure risk assessment model, which will then be validated in a prospective cohort. The effectiveness of the model in assessing different risk groups will be evaluated, with the goal of achieving precise prevention of heart failure from the source.
Eligibility criteria
Qualifiers
Age 18-75 years old.
Patients preliminarily diagnosed with heart failure and scheduled to receive drug therapy after being evaluated by cardiology departments.
No history of structural heart disease, and the Framingham score <5 (for patients with the Framingham score ≥5, coronary artery disease will be excluded by coronary angiography/coronary CT/exercise platelet).
Creatinine clearance ≥50ml/min (Cockcroft-Gault formula).
Disqualifiers
Presence of acute/chronic renal impairment (GFR <50/ml/min/1.73m2).
History of cardiovascular disease such as confirmed coronary artery disease, valvular disease, cardiomyopathy, congenital heart disease, and heart failure.
Presence of contraindications to CMR.
Trial design
Treatments tested in this trial
- diuretics, ACEIs/ARBs, beta blockers, positive inotropic drugs, MRAs, SGLT2i, retinoids
- Close follow-up
- early rehabilitation guidance
Treatment groups
Locations
1Sponsors and collaborators
RenJi Hospital
Lead sponsor