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Assessment of Pulmonary Artery Pressure and Hemodynamic Measurements by Electrical Impedance Tomography and Right Heart Catheterization

Status: Recruiting
Location: See location...
Intervention Type: Procedure, Diagnostic test
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

Pulmonary hypertension is a serious and progressive disease that is difficult to treat and diagnose, mainly because its symptoms are nonspecific and often delay recognition. Early diagnosis is a major challenge. Although several tests may suggest the disease, the definitive diagnosis still requires right heart catheterization, an invasive procedure that directly measures pulmonary hemodynamics such as pulmonary artery pressure, cardiac output, and vascular resistance. Electrical impedance tomography (EIT) is a non-invasive, radiation-free bedside monitoring method that can evaluate ventilation and pulmonary perfusion. The number of studies investigating perfusion with EIT has been increasing, since the possibility of having a safe, radiation-free, and repeatable method available at the bedside is of great clinical interest in different fields of medicine. Our hypothesis is that EIT provides information that correlates with the findings of right heart catheterization in patients with suspected pulmonary arterial hypertension (PAH). EIT may serve as a useful screening tool prior to catheterization and may also help in risk stratification of patients with pulmonary hypertension

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• Patients with a diagnosis or clinical suspicion of pulmonary arterial hypertension (PAH) and with a medical indication for right heart catheterization.

• Patients evaluated at the Pulmonology Service of InCor-HCFMUSP.

Locations
Other Locations
Brazil
Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina da USP
RECRUITING
São Paulo
Contact Information
Primary
Marcelo BP Amato, MD PhD
marcelo.amato@hc.fm.usp.br
+55113061-7361
Backup
Jade Lara de Melo, PT
jade.l.melo.l@gmail.com
+5534992911757
Time Frame
Start Date: 2024-04-26
Estimated Completion Date: 2026-12
Participants
Target number of participants: 120
Treatments
Experimental: Diagnostic Arm
Patients with suspected or confirmed pulmonary arterial hypertension (PAH) undergoing right heart catheterization will also be monitored with electrical impedance tomography (EIT) around the time of the procedure. EIT-derived signals will be compared with invasive hemodynamic measurements.
Sponsors
Leads: University of Sao Paulo General Hospital

This content was sourced from clinicaltrials.gov