Behaviour of Tricuspid Valve Regurgitation in Volume and/or Pressure Loaded Right Heart
1 other identifier
observational
20
1 country
1
Brief Summary
Right-sided heart disease has an important impact on the prognosis of patients with valvular heart disease. Up to now, Tricuspid Valve Regurgitation (TR) and right heart hemodynamics have not been extensively investigated. However, it is plausible that a significant degree of TR and the associated volume-overload of the right ventricle cause significant right ventricular wall stress. Although minor TR generally is well tolerated, major TR can lead to clinical symptoms, right ventricular dilatation and ultimately right ventricular heart failure. Up to now, the investigators do not dispose of any tools to diagnose and anticipate this unfavourable evolution. Nevertheless it is likely that right ventricular failure is preceded with a subclinical dysfunction of the right ventricle and a possibly reversible change in contractility of the myocardium. Recently, new techniques to evaluate the systolic function, the contractility and the hemodynamics of the heart have become available. First, this study will help us assessing the feasibility and accuracy of several imaging modalities in right-sided heart pathology with focus on TR and right heart myocardial performance. Second, this study will contribute to a better understanding of the hemodynamic effect of volume-overload and/or pressure-overload of the right ventricle. It will clarify the behaviour of TR, the evolution of right ventricular myocardial contractility and dysfunction during exercise and its impact on exercise capacity. By doing this, discrimination between well tolerated and ill-tolerated TR will be possible, thus identifying patients who might be eligible for treatment (medical, corrective, …).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for all trials
Started Oct 2011
Typical duration for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 27, 2011
CompletedFirst Posted
Study publicly available on registry
September 30, 2011
CompletedStudy Start
First participant enrolled
October 18, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 24, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
January 31, 2014
CompletedJanuary 26, 2023
January 1, 2011
1.6 years
September 27, 2011
January 23, 2023
Conditions
Keywords
Study Arms (8)
Pulmonary Hypertension
pulmonic valve stenosis
pulmonic valve homograft
pulmonic valve insufficiency
atrial septum defect
Ebstein's anomaly
transvalvular right ventricular lead
control
Eligibility Criteria
* Pulmonary Arterial Hypertension * Pulmonic Valve Stenosis * Pulmonic valve insufficiency * Atrium Septum Defect * Ebstein's Anomaly * Transvalvular RV pacemaker/ shock lead * Control
You may qualify if:
- Pulmonary Arterial Hypertension
- Pulmonic Valve Stenosis
- Pulmonic valve homograft
- Pulmonic valve insufficiency
- Atrium Septum Defect
- Ebstein's Anomaly
- Transvalvular RV pacemaker/ shock lead
- Control
You may not qualify if:
- age \< 16 years
- not fit for bicycle testing
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
UZLeuven
Leuven, Vlaams-Brabant, 3000, Belgium
Related Publications (1)
De Meester P, Buys R, Van De Bruaene A, Gabriels C, Voigt JU, Vanhees L, Herijgers P, Troost E, Budts W. Functional and haemodynamic assessment of mild-to-moderate pulmonary valve stenosis at rest and during exercise. Heart. 2014 Sep;100(17):1354-9. doi: 10.1136/heartjnl-2014-305627. Epub 2014 Apr 29.
PMID: 24780907DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Werner Budts, MD, PhD
Universitaire Ziekenhuizen KU Leuven
Study Design
- Study Type
- observational
- Observational Model
- CASE CONTROL
- Time Perspective
- CROSS SECTIONAL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 27, 2011
First Posted
September 30, 2011
Study Start
October 18, 2011
Primary Completion
May 24, 2013
Study Completion
January 31, 2014
Last Updated
January 26, 2023
Record last verified: 2011-01