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prognostic effect of sildenafil in patients with severe mitral stenosis and reactive pulmonary hypertension candidate for mitral valve replacement at Tehran Heart Center

Phase 2
Conditions
Condition 1: Reactive Pulmonary Hypertension. Condition 2: severe mitral stenosis.
Other specified pulmonary heart diseases
Mitral stenosis
Registration Number
IRCT2014072818625N1
Lead Sponsor
Tehran Heart Center
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete
Sex
All
Target Recruitment
62
Inclusion Criteria

Patients with severe mitral stenosis; Pulmonary artery pressure more than 35 mm Hg in trans esophageal echocardiography; Reactive pulmonary hypertension according right heart catheterization (difference between mean pulmonary artery pressure and Pulmonary Capillary Wedge Pressure> 12mmhg)
Exclusion criteria: Necessity of nitrate; Significant hypotension after first dose of sildensfil; Mitral regurgitation more severe than moderate degree; Necessity of aortic or tricuspid valve replacement; Concomitant Coronary artery bypasses graft surgery

Exclusion Criteria

Not provided

Study & Design

Study Type
interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Pulmonary Artery Pressure. Timepoint: 7 days before mitral valve replacement/ 6 week after mitral valve replacement. Method of measurement: Transthoracic Echocardiography.;Left Ventricular Ejection Fraction. Timepoint: 7 days before mitral valve replacement/ 6 week after mitral valve replacement. Method of measurement: Transthoracic Echocardiography.
Secondary Outcome Measures
NameTimeMethod
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