Study to Improve Outcomes in Aortic Stenosis

NCT ID: NCT03112629

Last Updated: 2020-02-26

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

COMPLETED

Total Enrollment

791 participants

Study Classification

OBSERVATIONAL

Study Start Date

2017-03-23

Study Completion Date

2019-04-03

Brief Summary

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Multi-centre, multi-national, observational, prospective registry in four central full access centres in Germany (2), France (1) and the United Kingdom (1) and up to two satellites per hub (smaller hospitals / office based cardiologists (OBC) without access to surgical and percutaneous aortic valve (AV) interventions).

The hypothesis is that the management of patients with severe AS will differ between sites with on-site access to all treatment modes and those without such facilities.

Detailed Description

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Data from existing studies indicate that the treatment pathways for patients with severe aortic stenosis with or without symptoms are insufficiently defined. This lack of definition can contribute both to delay in treatment and inappropriate treatment decisions. While this has been confirmed in hospitals with a full complement of treatment modalities for severe aortic stenosis, including surgery and percutaneous options, it is not known whether delay in treatment or appropriateness of treatment decisions are better or worse in smaller hospitals without equivalent on-site access.

The aim of this study is to delineate the case load of patients with aortic stenosis, outline the management of these patients and determine appropriateness in participating centres with and without on-site access to surgery and percutaneous treatment.

Conditions

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Aortic Valve Stenosis

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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symptomatic AS

Patients diagnosed with severe aortic stenosis in echocardiography who display one or more of the following symptoms: exertional shortness of breath, chest pain, exertional dizziness or syncope.

No interventions assigned to this group

asymptomatic AS

Patients diagnosed with severe aortic stenosis in echocardiography who do not display symptoms

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* age over 18 years
* identified on echocardiography with severe aortic stenosis, defined as at least one of:
* aortic valve area \< 1 cm2
* indexed valve area \< 0.6 cm2/m2
* maximum jet velocity \> 4.0 m/sec
* mean transvalvular gradient \> 40 mmHg

Exclusion Criteria

* non-severe aortic stenosis
* previous aortic valve repair
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Edwards Lifesciences

INDUSTRY

Sponsor Role collaborator

Institut für Pharmakologie und Präventive Medizin

NETWORK

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Stephan Balduss, Prof

Role: STUDY_CHAIR

University of Cologne

Norbert Frey, Prof

Role: STUDY_CHAIR

University of Kiel, Germany

Richard Steeds, Prof

Role: STUDY_CHAIR

Queen Elizabeth Hospital, Birmingham, UK

David Messika-Zeitoun, Prof

Role: STUDY_CHAIR

Bichat Hospital, Paris, France

Locations

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Bichat Hospital Paris

Paris, , France

Site Status

Department of Cardiology and Angiology, University of Kiel

Kiel, Schleswig-Holstein, Germany

Site Status

Countries

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France Germany

References

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Rudolph TK, Messika-Zeitoun D, Frey N, Lutz M, Krapf L, Passefort S, Fryearson J, Simpson H, Mortensen K, Rehse S, Tiroke A, Dodos F, Mies F, Deutsch C, Kurucova J, Thoenes M, Bramlage P, Steeds RP; IMPULSE enhanced investigators. Severe aortic stenosis management in heart valve centres compared with primary/secondary care centres. Heart. 2023 May 26;109(12):944-950. doi: 10.1136/heartjnl-2022-321566.

Reference Type DERIVED
PMID: 36657962 (View on PubMed)

Rudolph TK, Messika-Zeitoun D, Frey N, Lutz M, Krapf L, Passefort S, Fryearson J, Simpson H, Mortensen K, Rehse S, Tiroke A, Dodos F, Mies F, Pohlmann C, Kurucova J, Thoenes M, Bramlage P, Steeds RP. Caseload management and outcome of patients with aortic stenosis in primary/secondary versus tertiary care settings-design of the IMPULSE enhanced registry. Open Heart. 2019 Jul 21;6(2):e001019. doi: 10.1136/openhrt-2019-001019. eCollection 2019.

Reference Type DERIVED
PMID: 31413844 (View on PubMed)

Other Identifiers

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Impulse enhanced

Identifier Type: -

Identifier Source: org_study_id

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