Strain X Cardiopulmonary Test
Analysis Of Strain Myocardial Associated With The Exercise Tolerance In Patients With Heart Failure Systolic
1 other identifier
observational
26
1 country
1
Brief Summary
Introduction : Patients with heart failure (HF ) with systolic dysfunction of moderate to severe exhibit significant reduction in the ability to exercise compared to those with mild dysfunction , and have worse prognosis. However, some clinical markers of severity and diagnosis widely used in this population such as ejection fraction (EF) , are not always able to translate the actual degree of cardiac damage as well as their relationship with the cardiorespiratory fitness of these individuals and prognosis . Objective: To evaluate the ability of the global longitudinal strain ( GLS ) in predicting exercise tolerance in heart failure patients with moderate and significant systolic dysfunction.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 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
Study Start
First participant enrolled
August 1, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2016
CompletedFirst Submitted
Initial submission to the registry
August 6, 2016
CompletedFirst Posted
Study publicly available on registry
August 16, 2016
CompletedAugust 16, 2016
August 1, 2016
Same day
August 6, 2016
August 11, 2016
Conditions
Outcome Measures
Primary Outcomes (1)
Echocardiography for obtaining the "strain "
To strain of technical analysis will be used echocardiography analysis software ( EchoPAC , GE Medical Systems, Horten , Norway, version 10.0 ) . The images will be analyzed in the longitudinal sections ( 4 bedrooms , 3 bedrooms and 2 cameras) . The endocardium is drawn manually from the septum to the lateral mitral annulus. A region of interest will be applied automatically by the software.
1 day
Secondary Outcomes (1)
Cardiopulmonary Test
1 day
Eligibility Criteria
The study population consisted of adults 21-65 years diagnosed with HF of all etiologies , in functional class II and III by the New York Heart Association ( NYHA ) , sedentary , of both sexes.
You may qualify if:
- moderate and significant systolic dysfunction (LVEF \< 45%) assessed by transthoracic echocardiography recent ( last month before evaluation ) Teichholz method , or when in the presence of contractile deficit target , by the Simpson method.
You may not qualify if:
- deformity in the face to prevent the coupling of the mask to perform the CPET ,
- orthopedic and neurological diseases that could make it impossible to perform the tests ,
- patients with psychiatric disorders that restricted them to respond to the questionnaire ,
- HF FC IV or hospitalization in the last three months ,
- angina unstable;
- myocardial infarction or heart surgery up to three months before the survey ;
- FEV1 / FVC \<70 % predicted characterizing obstructive respiratory disorder .
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Universidade Federal de Pernmabuco
Recife, Pernambuco, Brazil
Related Publications (3)
Becker M, Hoffmann R, Kuhl HP, Grawe H, Katoh M, Kramann R, Bucker A, Hanrath P, Heussen N. Analysis of myocardial deformation based on ultrasonic pixel tracking to determine transmurality in chronic myocardial infarction. Eur Heart J. 2006 Nov;27(21):2560-6. doi: 10.1093/eurheartj/ehl288. Epub 2006 Oct 11.
PMID: 17035253RESULTBelohlavek M, Pislaru C, Bae RY, Greenleaf JF, Seward JB. Real-time strain rate echocardiographic imaging: temporal and spatial analysis of postsystolic compression in acutely ischemic myocardium. J Am Soc Echocardiogr. 2001 May;14(5):360-9. doi: 10.1067/mje.2001.110786.
PMID: 11337681RESULTChan J, Hanekom L, Wong C, Leano R, Cho GY, Marwick TH. Differentiation of subendocardial and transmural infarction using two-dimensional strain rate imaging to assess short-axis and long-axis myocardial function. J Am Coll Cardiol. 2006 Nov 21;48(10):2026-33. doi: 10.1016/j.jacc.2006.07.050. Epub 2006 Oct 31.
PMID: 17112992RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- observational
- Time Perspective
- CROSS SECTIONAL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- PhD
Study Record Dates
First Submitted
August 6, 2016
First Posted
August 16, 2016
Study Start
August 1, 2016
Primary Completion
August 1, 2016
Last Updated
August 16, 2016
Record last verified: 2016-08