From: Metabolic manipulation in chronic heart failure: study protocol for a randomised controlled trial
Inclusion Criteria |
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Non-ischaemic, dilated cardiomyopathy |
Symptomatic despite optimally-tolerated medical therapy |
Impaired left ventricular systolic function (LVEF < 40%) as assessed by resting echocardiography |
Exclusion Criteria |
History of liver disease or liver function test measurements greater than twice the upper normal limit |
Concomitant use of amiodarone, quinidine, haloperidol or selective serotonin re-uptake inhibitors that inhibit the CYP2D6 enzyme |
Pre-existing evidence of peripheral neuropathy |
Women of child bearing potential |
Patients with any contraindication to magnetic resonance imaging such as an implantable cardiac device or claustrophobia |
Obesity (BMI > 35) |
Obstructive sleep apnoea |