Right Heart Failure Clinical Trial
Official title:
Implementation of a Clinical Pathway to Improve Outcomes in Emergency Department Patients With Right Ventricular Failure
Verified date | March 2017 |
Source | Indiana University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Millions of Americans seek emergency care for acute shortness of breath, and many undergo computerized tomographic pulmonary angiography (CTPA) testing that is negative for acute disease. Management of patients with persistent shortness of breath despite normal testing continues to pose a challenge for clinicians. Right ventricular (RV) failure is a common cause of dyspnea that brings patients to the emergency department (ED), however, it is often not considered in the differential diagnosis, remains unrecognized, or patients are not properly followed up once diagnosed. Delays in diagnosis and management of RV failure are associated with poor outcomes. The investigators propose a novel clinical pathway, which entails identifying and enrolling patients with RV failure in the ED, then referring them to a specialized cardiovascular clinic where they will receive a standardized evaluation and management plan. Our hypothesis is that management of RV failure, through this pathway, will improve patient outcomes when compared to standard care. The primary outcome will assess 1-year unscheduled healthcare visits.
Status | Terminated |
Enrollment | 2 |
Est. completion date | February 23, 2017 |
Est. primary completion date | February 23, 2017 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - adult patients > 18 years old, - with a non-significant CTPA scan (i.e. no acute disease), dyspnea PLUS an emergency physician performed echocardiogram with isolated RV failure OR CTPA scan with evidence of pulmonary hypertension OR comprehensive echocardiogram within 3 months of index hospital visit showing isolated RV dysfunction Exclusion Criteria: - Currently being evaluated and/or treated for RV failure or PH, - those unable to have a comprehensive echocardiography performed, - those with indeterminate RV function OR LV dysfunction on comprehensive echocardiography, and - those patients with circumstances where they may be lost to follow-up (homeless, prisoner, severe psychiatric disorder, no reliable contact information). |
Country | Name | City | State |
---|---|---|---|
United States | Methodist Hospital | Indianapolis | Indiana |
Lead Sponsor | Collaborator |
---|---|
Indiana University |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Unscheduled healthcare visits | 1 year | ||
Secondary | Mortality | 1 year | ||
Secondary | Hospital re-admissions | 1 year | ||
Secondary | Change in quality of life via the SF-36 | 1 year |
Status | Clinical Trial | Phase | |
---|---|---|---|
Not yet recruiting |
NCT06002321 -
Right Ventricular Dysfunction in Chronic Heart Failure
|
||
Completed |
NCT05948332 -
Definition and Management of Right Ventricular Injury in Adult Patients Receiving Extracorporeal Membrane Oxygenation
|
||
Not yet recruiting |
NCT06039176 -
Human/Machine Interface: What the HeartMate 3 ® Device Tells Us About the Future
|
||
Completed |
NCT03438825 -
PRediction of Early PostoperAtive Right vEntricular Failure in Mitral Valve Replacement/Repair Patients
|
||
Recruiting |
NCT05179616 -
Pforzheim Tricuspid Valve Registry - Outcomes of Percutaneous Tricuspid Valve Repair
|
||
Completed |
NCT02644616 -
The Safety and Efficacy of Tolvaptan for Patients With Tricuspid Regurgitation and Right Heart Failure After Left Heart Valves Replacement
|
Phase 4 | |
Completed |
NCT03656263 -
The Clinical Significance of Portal Hypertension After Cardiac Surgery: a Multicenter Prospective Observational Study
|
||
Recruiting |
NCT01777607 -
The Use of Impella RP Support System in Patients With Right Heart Failure
|
N/A | |
Completed |
NCT03554291 -
Repurposing a Histamine Antagonist to Benefit Patients With Pulmonary Hypertension
|
Phase 2 | |
Completed |
NCT03217331 -
CRD-102 for Right Heart Failure in Patients With Left Ventricular Assist Devices
|
Phase 1/Phase 2 | |
Not yet recruiting |
NCT00834145 -
Effect of Normatec Pump for Relief of Leg Edema in Patients With Right Heart Failure
|
N/A | |
Recruiting |
NCT03552679 -
Serial Multiparametric Evaluation of Right Ventricular Function After Left Ventricular Assist Device Implantation
|
||
Recruiting |
NCT03202641 -
Open Lung Strategy, Gas Distribution and Right Heart Function in ARDS Patients
|
N/A | |
Not yet recruiting |
NCT05450328 -
Inhaled Milrinone and Epoprostenol for the Prevention of Difficult Cardiac Pulmonary Bypass Separation
|
Phase 2 | |
Not yet recruiting |
NCT04188756 -
RV Systolic and Diastolic Function and Contractile Reserve Under Acute Exercise and in Response to Chronic Exercise-based Rehabilitation
|
N/A | |
Completed |
NCT01757522 -
Detection of Right Ventricular Dysfunction by 2D Strain During Acute Respiratory Distress Syndrom (ARDS)
|
||
Withdrawn |
NCT00811486 -
Body Volume Regulation in Pulmonary Arterial Hypertension With Right Ventricular Failure
|
N/A | |
Completed |
NCT05366400 -
Relationship Between Right Atrial Volume Index, Functional Capacity and Inflammatory Biomarkers in Patients With COPD.
|
||
Active, not recruiting |
NCT06023134 -
Clinical Characteristics and Outcomes of Patients With Pulmonary Hypertension Associated Right Heart Failure
|
||
Recruiting |
NCT06053580 -
Repurposing Valsartan May Protect Against Pulmonary Hypertension
|
Phase 2 |