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TrimetaziDine as a Performance-enhancING drug in heart failure with preserved ejection fraction (DoPING-HFpEF): rationale and design of a placebo-controlled cross-over intervention study.


ABSTRACT: BACKGROUND:Currently, no specific treatment exists for heart failure with preserved ejection fraction (HFpEF). Left ventricular (LV) relaxation during diastole is a highly energy-demanding process, while energy homeostasis is known to be compromised in HFpEF. We hypothesise that trimetazidine - a fatty acid β‑oxidation inhibitor - improves LV diastolic function in HFpEF, by altering myocardial substrate use and improving the myocardial energy status. OBJECTIVES:To assess whether trimetazidine improves LV diastolic function by improving myocardial energy metabolism in HFpEF. METHODS:The DoPING-HFpEF trial is a randomised, double-blind, placebo-controlled cross-over intervention trial comparing the efficacy of trimetazidine and placebo in 25 patients with stable HFpEF. The main inclusion cri

SUBMITTER: van de Bovenkamp AA 

PROVIDER: S-EPMC7270414 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature