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Clinical Trial Details — Status: Active, not recruiting

Administrative data

NCT number NCT04688905
Other study ID # 283/20
Secondary ID
Status Active, not recruiting
Phase
First received
Last updated
Start date September 9, 2020
Est. completion date August 30, 2024

Study information

Verified date April 2024
Source University of Leipzig
Contact n/a
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

Invasive diagnosis of heart failure with preserved ejection fraction (HFpEF) in patients with unexplained dyspnea NYHA II-III compared to other diagnostic tools


Description:

Multiple diagnostic tests, including stress tests and the invasive conduction of left ventricular pressure-volume loops via conductance catheter (as gold standard) will be performed in patients with unexplained dyspnea NYHA II-III in order to identify patients with a heart failure with preserved ejection fraction (HFpEF). The results will be compared to previously reported diagnostic scores such as the H2FPEF and the HFA-PEFF score.


Recruitment information / eligibility

Status Active, not recruiting
Enrollment 30
Est. completion date August 30, 2024
Est. primary completion date August 4, 2023
Accepts healthy volunteers No
Gender All
Age group 18 Years to 90 Years
Eligibility Inclusion Criteria: - dyspnea NYHA II-III - age 18-90 years - left ventricular ejection fraction = 50% - ability to give informed consent Exclusion Criteria: - unstable cardiac disease with acute decompensation - documented former LVEF = 40% - heart valve disease with medium or high grade insufficiency or stenosis - coronary heart disease with hemodynamically relevant coronary stenosis - specific cardiomyopathia - acute or chronic cardiac inflammation (myocarditis, pericarditis) - former heart transplantation - relevant pulmonary disease (e.g. COPD) assumably causing the dyspnea - FEV1/VC < 70% - hemoglobin < 5 mmol/l - pregnant or nursing women - contraindication for one of the diagnostic tests

Study Design


Related Conditions & MeSH terms


Intervention

Diagnostic Test:
Invasive hemodynamics of left ventricle via conductance catheter at rest, with exercise and with temporary vena cava occlusion
Invasive hemodynamics of left ventricle will be done by the conductance method. Left ventricular stiffness constant will be obtained by temporary vena cava occlusion. Right heart catherization will be done by pulmonary artery catherization and cardiac output will be estimated by thermodilution and Fick´s method.

Locations

Country Name City State
Germany Universitätsklinikum Leipzig Leipzig Saxony

Sponsors (1)

Lead Sponsor Collaborator
University of Leipzig

Country where clinical trial is conducted

Germany, 

Outcome

Type Measure Description Time frame Safety issue
Primary HFpEF-positive patients Percentage of patients with invasively diagnosed heart failure with preserved ejection fraction Within one day
Secondary H2FPEF score Difference in H2FPEF score in patients with approved and excluded HFpEF (BMI > 30 kg/m²: 2 points, 2 or more antihypertensive medicines: 1 point, atrial fibrillation: 3 points, pulmonary hypertension: 1 point, age > 60 years: 1 point, E/E' > 9: 1 point. Sum: 0-9 points with rising probability of HFpEF with increasing score) Within two days
Secondary HFA-PEFF score Difference in HFA-PEFF score in patients with approved and excluded HFpEF (0-2 points regarding functional, morpholigical and biomarker parameters. Sum: 0-6 points; 0-1 points:exclusion of HFpEF, 2-5 points: further diagnostic (stress test or invasive) required, 5-6 points: HFpEF diagnosed. Within two days
Secondary Difference in DPVQ (echocardiographic) Diastolic pressure-volume quotient (DPVQ) (at rest and under exertion) in patients with approved and excluded HFpEF Within two days
Secondary Difference in E/E' (echocardiographic) E/E' (at rest and under exertion) in patients with approved and excluded HFpEF Within two days
Secondary Difference in GLS (echocardiographic) Global longitudinal strain (at rest and under exertion) in patients with approved and excluded HFpEF Within two days
Secondary Difference in MRI parameters Fibrosis (using late gadolinium enhancement and T1-Mapping) in patients with approved and excluded HFpEF Within two days
Secondary Difference in pulmonary artery pressure (right heart catheter) Pulmonary artery pressure at rest and under exertion in patients with approved and excluded HFpEF Within two days
Secondary Difference in wedge pressure (right heart catheter) Wedge pressure at rest and under exertion in patients with approved and excluded HFpEF Within two days
Secondary Difference in DPVQ (echocardiographic) after one year Diastolic pressure-volume quotient (DPVQ) at rest in patients with approved and excluded HFpEF after one year 1 year
Secondary Difference in E/E' (echocardiographic) after one year E/E' at rest in patients with approved and excluded HFpEF after one year 1 year
Secondary Difference in GLS (echocardiographic) after one year Global longitudinal strain at rest in patients with approved and excluded HFpEF after one year 1 year
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