Study Results
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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COMPLETED
791 participants
OBSERVATIONAL
2017-03-23
2019-04-03
Brief Summary
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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.
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Detailed Description
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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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Study Design
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COHORT
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
* 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
* previous aortic valve repair
18 Years
ALL
No
Sponsors
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Edwards Lifesciences
INDUSTRY
Institut für Pharmakologie und Präventive Medizin
NETWORK
Responsible Party
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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
Department of Cardiology and Angiology, University of Kiel
Kiel, Schleswig-Holstein, Germany
Countries
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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.
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.
Other Identifiers
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Impulse enhanced
Identifier Type: -
Identifier Source: org_study_id
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