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NCT ID: NCT01279499 Recruiting - Morbid Obesity Clinical Trials

Sevoflurane Versus Intravenous Anaesthetic Agents in Morbid Obese Patients

Start date: April 2010
Phase: Phase 2/Phase 3
Study type: Interventional

The objective of this prospective randomized clinical study was to compare anesthesia, in morbidly obese patents (BMI >50) who underwent BPD-RYGBP with either sevoflurane or propofol with remifentanyl.

NCT ID: NCT01270750 Recruiting - Clinical trials for CONGESTIVE HEART FAILURE

Bosentan for Severe Mitral Valve Dysfunction

BOSMIVAR
Start date: December 2010
Phase: Phase 1/Phase 2
Study type: Interventional

Vasoconstrictive signaling via endothelin receptors is not limited to primary pulmonary arterial hypertension, but has also been documented in secondary pulmonary hypertension due to congestive heart failure, including cardiac valve disease. The investigators aim to examine the clinical and physiologic effects of bosentan therapy in patients with secondary pulmonary hypertension due to severe, inoperable cardiac valve disease, using a single-center, prospective, open-label, non-randomized study of oral bosentan in outpatients with severe mitral stenosis due to childhood rheumatoid fever. Primary end-point will be exercise capacity at six months determined by six-minute walking distance and cardiopulmonary exercise testing. Secondary end-points will be symptomatic relief, echocardiographic left ventricular function and pulmonary pressure, serum pro-brain natriuretic peptide, and adverse events at six months.

NCT ID: NCT01268722 Recruiting - Clinical trials for Chronic Total Occlusion of Artery of the Extremities

Balloon Angioplasty Versus Primary Stenting for the Treatment of Femoropopliteal Artery Chronic Total Occlusions

FACTORY
Start date: December 2010
Phase: Phase 3
Study type: Interventional

This is a multicenter double-arm randomized trial investigating plain balloon angioplasty versus primary placement of self-expanding nitinol stents after endovascular recanalization of femoral CTOs. Study will recruit up to 200 patients to be adequately powered for detection of a significant difference in vessel patency after 1 year.

NCT ID: NCT01267786 Recruiting - Liver Surgery Clinical Trials

The Effect of Volatile Anesthetics Sevoflurane and Desflurane on Liver, Renal and Cardiovascular Systems During Liver Surgery

Start date: December 2010
Phase: Phase 4
Study type: Interventional

The aim of the study is to investigate the effect of sevoflurane and desflurane on hepatic function after ischemic/reperfusion injury and the sequence influence on renal and cardiovascular systems.

NCT ID: NCT01231152 Recruiting - Obesity Clinical Trials

The Impact of Obesity on Children and Adolescents.

Start date: September 2010
Phase: N/A
Study type: Observational

The aim of the study is to investigate the association of obesity with arterial blood pressure, atherosclerosis, target organ damage (heart, arteries, kidney) and insulin resistance in children and young adolescents.

NCT ID: NCT01231009 Recruiting - Vestibular Neuritis Clinical Trials

The Role of Corticosteroids and Vestibular Exercises in Recovery of Vestibular Neuritis

Start date: January 2010
Phase: Phase 0
Study type: Interventional

Aim of present study is to determine whether corticosteroids and vestibular exercises are equal effective in the recovery of balance in patients with acute vestibular neuritis.

NCT ID: NCT01220791 Recruiting - Clinical trials for In Vitro Fertilization

Methylprednisolone Addition in IVF Treatment of Infertile Couples

Start date: January 2009
Phase: Phase 4
Study type: Interventional

Hypothesis to be tested is whether follicular addition of Methylprednisolone can efficiently control late follicular progesterone rise during IVF treatment

NCT ID: NCT01215994 Recruiting - Diabetes Mellitus Clinical Trials

Estimation of Glomerular Filtration Rate (GFR) in Patients With Type 2 Diabetes Mellitus.

Start date: March 2009
Phase: N/A
Study type: Observational

The purpose of the present study is to evaluate bias, precision and accuracy of new cystatin C and creatinine based equations for GFR estimation compared with 51Cr-EDTA (chromium-51 labeled ethylenediamine tetraacetic acid) measured GFR in patients with diabetes.

NCT ID: NCT01188005 Recruiting - Clinical trials for Obstructive Sleep Apnea Syndrome

Inflammatory Mediators in Obstructive Sleep Apnoea Syndrome; Mechanisms of Production and the Effect of Long Term Antioxidants Administration

Start date: August 2010
Phase: N/A
Study type: Interventional

Obstructive Sleep Apnea Syndrome (OSAS) is associated with elevated plasma levels of IL-6 and TNF-α, which cannot be accounted for by obesity (Vgontzas et al Sleep Med Rev 2005;9:211-24, Ciftci et al Cytokine 2004;28:87-91]. Obstructive apneas-hypopneas are accompanied by strenuous diaphragmatic contractions before the ensuing arousals and re-establishment of airway patency. We have shown that strenuous diaphragmatic contractions induced by resistive loading lead to elevated plasma levels of IL-6, TNF-α, and IL-1β (Vassi-lakopoulos et al AJRCCM 2002;166:1572-8) with concomitant up-regulation of the cytokines within the diaphragmatic myofibers (Vassilakopoulos et al AJRCCM 2004;170:154-61). OSAS patients exhibit frequent episodes of hypoxemia during the night. Loaded breathing is a form exercise for the respiratory muscles, and both acute and chronic hypoxia lead to an augmented plasma IL-6 response to exercise compared to normoxia (Lundby et al Eur J Appl Physiol 2004;91:88-93). In OSAS, monocytes have oxidative stress (Dyugovskaya et al AJRCCM 2002;165:934-9) and produce more cytokines (TNF-α) in vitro (Minoguchi et al Chest 204;126:1473-9). Hypothesis #1: plasma levels of IL-6 and TNF-α are increased during the night in OSAS patients secondary to the intermittent strenuous diaphragmatic contractions and the episodes of hypoxia-reoxygenation associated with the obstructive apneas-hypopneas. Hypothesis #2: monocytes from sleep apnea patients, exhibit augmented intracellular expression of IL-6 and TNF-α during the night. Hypothesis #3: Oxidative stress is a stimulus for cytokine upregulation in OSAS.

NCT ID: NCT01132001 Recruiting - Clinical trials for Arterial Hypertension

Ambulatory Versus Home Blood Pressure Measurement

Start date: October 2009
Phase: N/A
Study type: Observational

This is a prospective study comparing the three blood pressure monitoring methods on the diagnosis of arterial hypertension. Blood pressure of each subject will be evaluated with clinic, home and 24h ambulatory blood pressure measurements in three visits