Effect of a One-week Descent From 2850m to Sea Level and Re-ascent in Patients With Pulmonary Arterial Hypertension and Healthy Controls Permanently Living > 2600m on Pulmonary Hemodynamics, Exercise Capacity, Blood Oxygenation, Sleep Disordered Breathing and Further Outcomes
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 14
- 试验地点
- 1
- 主要终点
- Pulmonary resistance (sPAP/CO) after 7 days at sea level
研究概览
简要总结
To study the effect of relocation from high altitude (Quito Ecuador: 2850m) to sea level on pulmonary resistance (sPAP/CO) and other hemodynamic outcomes in healthy individuals, who live permanently >2600m.
详细描述
The aim of this research is to investigate the pulmonary resistance (sPAP/CO) by echocardiography and other hemodynamic outcomes before and after relocation (high altitude near their living altitude vs. sea level) in healthy individuals, who permanently live at high altitude over 2600m.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 80 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Adults aged 18-80 years and of all genders
- •Permanent residence > 2600 m
- •healthy: no self-perceived cardiopulmonary disease limiting daily activities
- •written informed consent to participate in the study.
排除标准
- •Age <18 years or >80 years
- •People who cannot follow the study investigations
- •Participant permanently living < 2600m.
- •Participant who traveled and stayed overnight at altitudes <2000 m in the past 4 weeks.
- •any self-perceived cardiopulmonary disease limiting daily activities
研究组 & 干预措施
Pulmonary resistance (sPAP/CO) at 2850m and at sea level
Measurement of pulmonary resistance (sPAP/CO) by echocardiography and other hemodynamic parameters near their resident altitude at 2850m followed by a descent from 2850m to sea level by bus with a stay for 7 days and again measurements by echocardiography
干预措施: Descent from 2850m to sea level (Behavioral)
结局指标
主要结局
Pulmonary resistance (sPAP/CO) after 7 days at sea level
时间窗: From high altitude (2850m) to day 5-7 at sea level
Difference/change in sPAP/CO by echocardiography between 2850m and Day 5-7 at sea level in healthy individuals
次要结局
- Tricuspid regurgitation velocity TRV after 7 days at sea level(From high altitude (2850m) to day 5-7 at sea level)
- Cardiac output CO after 7 days at sea level(From high altitude (2850) to day 5-7 at sea level)
- Tricuspid annular plan systolic excursion TAPSE after 7 days at sea level(From high altitude (2850m) to day 5-7 at sea level)
- Right ventricular strain after 7 days at sea level(From high altitude (2850m) to Day 5-7 at sea level)
- Right atrial pressure RAP after 7 days at sea level(From high altitude (2850m) to Day 5-7 at sea level)
- Fractional area change FAC after 7 days at sea level(From high altitude (2850m) to Day 5-7 at sea level)
- PaO2 after 7 days at sea level(From high altitude (2850) to day 7 at sea level)
- PaCO2 after 7 days at sea level(From high altitude (2850) to day 7 at sea level)
- Hemoglobin after 7 days at sea level(From high altitude (2850) to day 7 at sea level)
- pH after 7 days at sea level(From high altitude (2850) to day 7 at sea level)
- Acclimatization-Effect of pulmonary resistance (sPAP/CO) at sea level(From Day 2 to Day 5-7 at sea level)
- Acclimatization-Effect of tricuspid regurgitation velocity TRV at sea level(From Day 2 to Day 5-7 at sea level)
- Acclimatization-Effect of cardiac output CO at sea level(From Day 2 to Day 5-7 at sea level)
- Acclimatization-Effect of tricuspid annular plan systolic excursion TAPSE at sea level(From Day 2 to Day 5-7 at sea level)
- Acclimatization-Effect of right ventricular strain at sea level(From Day 2 to Day 5-7 at sea level)
- Acclimatization-Effect of right atrial pressure RAP at sea level(From Day 2 to Day 5-7 at sea level)
- Acclimatization-Effect of fractional area change FAC at sea level(From Day 2 to Day 5-7 at sea level)
- Acclimatization-Effect of PaO2 at sea level(From Day 2 to Day 7 at sea level)
- Acclimatization-Effect of PaCO2 at sea level(From Day 2 to Day 7 at sea level)
- Acclimatization-Effect of hemoglobin at sea level(From Day 2 to Day 7 at sea level)
- Acclimatization-Effect of pH at sea level(From Day 2 to Day 7 at sea level)
研究者
Silvia Ulrich Somaini
Prof. Dr. med.
University of Zurich
