Investigating Hypercapnia to Treat Neurogenic Orthostatic Hypotension

Status: Recruiting
Location: See location...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

The Autonomic (or automatic) Nervous System (ANS) regulates internal processes, including control of heart rate and blood pressure (BP). When someone stands, and gravity tries to pull blood away from the brain, the ANS works to maintain BP and brain blood flow. Neurogenic Orthostatic Hypotension (NOH) occurs when our fight-or-flight part (sympathetic) of the ANS fails. BP can drop a lot when upright, reducing blood flow and oxygen delivery to the brain, and this can cause symptoms of light-headedness, nausea, and fainting. One solution to help counter the effects of NOH may be to increase sympathetic activity by breathing higher levels of carbon dioxide. In healthy volunteers, small increases in the amount of inhaled carbon dioxide has been shown to increase BP in the upright position, and this improves symptoms! The objectives of the current study are to apply carbon dioxide in patients with NOH and healthy controls to: (a) evaluate the effects of breathing carbon dioxide on BP and brain blood flow, and (b) determine if a device that increases carbon dioxide while standing will work as a new therapy

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Maximum Age: 100
Healthy Volunteers: t
View:

• Age ≥18 years

• Male and Female

• Non - smokers.

• Able and willing to provide informed consent.

• Ability to travel to Libin Cardiovascular Institute Autonomic Testing Lab at the University of Calgary, Calgary, AB.

Locations
Other Locations
Canada
University of Calgary
RECRUITING
Calgary
Contact Information
Primary
Jacquie Baker, PhD
jacquie.baker@ucalgary.ca
4032103819
Backup
Rasha Hamzeh, RN
autonomic.research@ucalgary.ca
Time Frame
Start Date: 2022-03-01
Estimated Completion Date: 2027-05-31
Participants
Target number of participants: 80
Treatments
No_intervention: Room Air
All participants will complete an active stand breathing room air with CO2 free to fluctuate
Experimental: +0mmHg CO2 Clamped at baseline
All participants will complete an active stand with their CO2 held constant at baseline
Experimental: +5mmHg CO2
All participants will complete an active stand breathing +5mmHg of CO2 relative to baseline
Experimental: +10mmHg
All participants will complete an active stand breathing +10mmHg of CO2 relative to baseline
Experimental: +10mmHg CO2 + 50mmHg O2
All participants will complete an active stand breathing +10mmHg of CO2 relative to baseline and 50mmHg of O2
Sponsors
Leads: University of Calgary

This content was sourced from clinicaltrials.gov