NCT00204945已完成不适用
Acute Responses in Diastolic Heart Failure
适应症
相关药物
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 15
- 试验地点
- 2
- 主要终点
- arterial tonometry
研究概览
简要总结
- Research question: What is the response of the heart's pumping function to changes in heart chamber pressures?
- Experimental design: Patients undergoing routine cardiac catheterization will be studied. A thermodilution pulmonary artery catheter will be inserted through a venous sheath and threaded into the pulmonary artery. After several minutes of quiet rest, baseline hemodynamics will be obtained, including a determination of cardiac output using thermodilution techniques and 30 seconds of pressure recordings from the left ventricle and proximal aorta. In addition, a brief echocardiogram will be performed, to determine ejection fraction and indices of diastolic filling. Finally, arterial tonometry will be obtained in quick succession from the brachial, radial, femoral, and carotid arteries. Following the collection of baseline data, a bolus and infusion of nesiritide will be started. After 10 minutes of nesiritide infusion, with the drug still infusing, a full set of invasive hemodynamics will again be obtained, as well as brief echocardiographic and arterial tonometry examinations.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 90 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Cardiac catheterization
排除标准
- •Unstable coronary syndrome,
- •Critical coronary stenoses (>90%),
- •Severe peripheral vascular disease,
- •Symptomatic hypotension at completion of routine diagnostic cath,
- •Significant valvular disease, resting heart rate >120 beats/min,
- •Ejection fraction <45%,
- •Presence of contraindications to nesiritide administration,
- •Any evidence of clinical instability.
结局指标
主要结局
arterial tonometry
时间窗: following catheterization, then following 10 minutes of nesiritide infusion
次要结局
未报告次要终点
研究者
研究点 (2)
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