Hemodynamic Assessment of underLying myocyTe Function in Right Heart Failure
Johns Hopkins University
50 participants
Dec 10, 2024
OBSERVATIONAL
Conditions
Summary
Right ventricular (RV) failure is recognized to worsen patient outcomes in the setting of heart failure with reduced ejection fraction (HFrEF)-related pulmonary hypertension (PH), yet the investigators fall short in trying to identify and treat it. The current proposal will (1) determine the best clinical indicators of intrinsic RV myocyte contractile failure in humans with HFrEF-PH, (2) clarify underlying mechanisms, and (3) test novel treatments on RV myocytes. The long-term goal of this proposal will be to better identify and treat RV failure in humans suffering from HFrEF-PH.
Eligibility
Inclusion Criteria3
- Adult patients aged between 18 and 90 years of age
- Diagnosed with heart failure with reduced ejection fraction (LV ejection fraction ≤ 40-50%)
- Can safely hold direct oral anticoagulant (DOAC) vitamin K antagonist (VKA) for 48 hours prior to the procedure
Exclusion Criteria7
- Unable to interrupt VKA anticoagulation
- Point of care International Normalized Ratio (INR) \> 1.5
- Pregnant patients
- Acute hospitalization or decompensation within 2 weeks prior to study date
- Participation in a study involving an investigational drug within 4 weeks prior to study date
- Inability to lie flat in the supine position
- Symptomatic hemodynamic instability at rest or during the procedure
Locations(1)
View Full Details on ClinicalTrials.gov
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NCT06299436