Development of Algorithms to Detect and Predict Hemodynamic Instability in Patients at Risk
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Autonomic Dysfunction
研究概览
简要总结
Hemodynamic monitoring in hospitalized patients is crucial since in clinical practice unexpected deterioration of cardiovascular function remains a serious problem and an important cause of death. Novel perspectives in reflex testing of the autonomic nervous system might be useful to protect some patients from cardiovascular events by detecting cardiovascular deteriorations. In addition, standard pulse oximetry in low acuity settings is nowadays predominately used to monitor peripheral oxygen saturation. Of note, there is evidence that additional analyses of pulse wave characteristics might be a valuable source of information to generate additional insights into the cardiorespiratory status of the patient. Herein, we aim to develop novel algorithms in order to protect in-hospital patients from cardiovascular events in consequence of hemodynamic instability in the future.
详细描述
70 datasets from hospitalized patients will be acquired in order to characterize the functional status of the autonomic nervous system as well as hemodynamics during baseline and during standard procedures including physical exercise testing and head-up tilt table testing.
Autonomic reflex testing:
- Heart Rate Characteristics
- Heart Rate Variability
- Heart Rate Turbulence
- Blood Pressure Variability
- Baroreflex Sensitivity
- Hyperoxic Chemoreflex Sensitivity
Hemodynamic Monitoring:
- Heart Rate Trends
- Blood Pressure Trends
- Pulse Wave Characteristics
- Cardiac Output
- Peripheral Vascular Resistance
- Context information
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 85 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •hospitalization
- •Age > 17 years
排除标准
- •documented diseases of the central nervous system
- •impairment of mental health
- •age > 85 years
结局指标
主要结局
Autonomic Dysfunction
时间窗: 24 hours
Dysfunction of the autonomic nervous system as assessed by autonomic reflex testing
次要结局
- Hemodynamic Deterioration(24 hours)
研究者
Klinik für Kardiologie, Pneumologie und Angiologie
Klinik für Kardiologie, Pneumologie und Angiologie Christian Meyer, MD
Heinrich-Heine University, Duesseldorf
