Pulse Wave Analysis in Advanced Heart Failure

NCT ID: NCT01642927

Last Updated: 2023-04-07

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

WITHDRAWN

Study Classification

OBSERVATIONAL

Study Start Date

2012-02-29

Study Completion Date

2016-12-31

Brief Summary

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A comparison of pulse wave characteristics, as measured by peripheral tonometry, in pre and post Left Ventricular Assist Device (LVAD) patients.

Detailed Description

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Pulse waveforms, especially central pressure waveforms, are predictive of cardiovascular events. Peripheral waveforms have been correlated to central waveforms. Peripheral waveforms can be easily measured through applanation tonometry. In this study the investigators hypothesize:

1. That previously established peripheral tonometry techniques would apply to patients with advanced heart failure, including continuous flow LVADs and facilitate serial evaluation of central hemodynamics without invasive monitoring.
2. That temporary changes in LVAD speed will be evident in frequency spectrum analysis of peripheral, non-invasive waveforms.
3. That clinical events involving LVAD will have characteristic frequency spectra.

Conditions

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Left Ventricular Assist Device Heart Failure Intra-aortic Balloon Pump LVAD Clot LVAD-related GI Bleed

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Intra-Aortic Balloon Pump (IABP) Group

Advanced Heart Failure and/or pre-LVAD surgical patient with IABP

No interventions assigned to this group

IABP/LVAD Group

Post-LVAD surgical patients with IABP

No interventions assigned to this group

Post-LVAD Group

LVAD patients 3 months or greater post-implantation undergoing echocardiography

No interventions assigned to this group

LVAD Event Group

LVAD patients who have developed LVAD thrombosis or GI hemorrhage related to LVAD

No interventions assigned to this group

Arrhythmia group

LVAD patient with an irregular heartbeat.

No interventions assigned to this group

Valvular disease group

LVAD patient with valvular heart disease

No interventions assigned to this group

Normal control group

Healthy participant without any known heart disease (Control group).

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

1)18 years of age or older

2)Advanced heart failure as defined by need for IABP or LVAD

3)One or more of the following:

* Current inpatient heart failure treatment with intra-aortic balloon pump (IABP)-IABP Group

•≤ 1 week post-LVAD implantation with current IABP support-IABP/LVAD Group

•≥ 3 mo post-LVAD placement and scheduled for LVAD speed optimization with echocardiography.-Post-LVAD Group
* Post-LVAD placement with suspected GI hemorrhage or LVAD thrombosis-LVAD Event Group

4)Voluntary written informed consent before performance of any study-related procedure not part of normal medical care, with the understanding that consent may be withdrawn by the subject at any time without prejudice to future medical care.

Exclusion Criteria

1. Clinical status will not permit pause of IABP (IABP and IABP/LVAD Groups)
2. Unable to undergo echo or oversewn or patched aortic valve (Post-LVAD Group)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Minnesota

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Peter Eckman, MD

Role: PRINCIPAL_INVESTIGATOR

University of Minnesota

Locations

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Univeristy of Minnesota Lillehei Heart Institute

Minneapolis, Minnesota, United States

Site Status

Countries

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United States

Other Identifiers

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FWA00000312-7

Identifier Type: -

Identifier Source: org_study_id

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