Autonomic Cardiovascular Control in Response to Blood Volume Reduction in Blood Donors

NCT ID: NCT04499664

Last Updated: 2022-08-30

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

25 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-08-01

Study Completion Date

2022-06-01

Brief Summary

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The function of the autonomic nervous system can be assessed using baroreflex sensitivity (BRS) and heart rate variability (HRV). Decreased HRV has been shown to be predictive of morbidity and mortality in diverse medical conditions such as acute myocardial infarction, aneurysmal subarachnoid haemorrhage, autoimmune diseases, sepsis and surgery.

The function of the autonomic nervous system has not yet been investigated in a "pure hypovolemia" model. The aim of the current study is therefore to investigate and describe the function of the autonomic nervous system prior to, during and after reduction of blood volume in healthy blood donors.

Detailed Description

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Conditions

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Autonomic Dysfunction Autonomic Imbalance Blood Loss

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Blood donors

Healhy young male bloddonors, aged 30-45

Monitoring of the autonomic nervous system

Intervention Type DEVICE

Monitoring of the autonomic nervous system using E-patch, LiDCO and Root-Massimo.

Interventions

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Monitoring of the autonomic nervous system

Monitoring of the autonomic nervous system using E-patch, LiDCO and Root-Massimo.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Volonteers eligable for blood donation following the Danish legislation
* Male
* Age 30-45
* Written informed consent
* Speak and understand Danish

Exclusion Criteria

Volonteers not eligable for blood donation following the Danish legislation, among others due to:

* Alcohol and drug abuse
* Cognitive dysfunction
* Use of anxiolytic or antipsychotic drugs
* Arrhythmias or heart failure
* Diabetes mellitus type I
* Diabetes mellitus type II
* Use of opioids
* History of following diseases in the autonomic nervous system: Parkinson disease, multiple sclerosis, autonomic neuropathies
* History of cerebral apoplexy or transitory cerebral ischemia
* Dementia
* American Society of Anesthesiologists (ASA) score ≥ 4

Furthermore:

* History of orthostatic intolerance and/or orthostatic hypotension
* Use of following vasodilator antihypertensive drugs: beta-blockers, angiotensin converting enzyme inhibitors (ACEI), angiotensin 2 receptor blockers (ARBs), calcium channel blockers
* Use of loop diuretics, thiazid diuretics and potassium-sparing diuretics
Minimum Eligible Age

30 Years

Maximum Eligible Age

45 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

Yes

Sponsors

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Hvidovre University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Ana-Marija Hristovska

MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Henrik Kehlet, Professor

Role: STUDY_DIRECTOR

Rigshospitalet, Denmark

Locations

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Hvidovre University Hospital

Copenhagen, , Denmark

Site Status

Countries

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Denmark

References

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Hristovska AM, Uldall-Hansen B, Mehlsen J, Andersen LB, Kehlet H, Foss NB. Orthostatic intolerance after acute mild hypovolemia: incidence, pathophysiologic hemodynamics, and heart-rate variability analysis-a prospective observational cohort study. Can J Anaesth. 2023 Oct;70(10):1587-1599. doi: 10.1007/s12630-023-02556-6. Epub 2023 Sep 26.

Reference Type DERIVED
PMID: 37752379 (View on PubMed)

Other Identifiers

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H-19069845

Identifier Type: -

Identifier Source: org_study_id

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