Influence of Nasal High-flow Therapy (NHFT) on Ventilation and Sympathetic Drive in Patients With Asthma

Status: Recruiting
Location: See location...
Study Type: Observational
SUMMARY

The project will be pursued in our respiratory, autonomic nervous system physiology laboratory (Respiratory, autonomic nervous system physiology laboratory, Department of Pneumology and Intensive Care Medicine, RWTH Aachen University Hospital). Overactivity of the sympathetic nerve activity (SNA) axis with centrally increased heart rate and peripheral vasoconstriction is a known phenomenon in patients with systolic heart failure (HF) and has recently been described in patients with primary lung diseases as in chronic obstructive pulmonary disease (COPD) and pulmonary hypertension (PH). Comprehensive studies investigating sympathetic drive in Asthma as one of the major pulmonary diseases are still lacking. Furthermore, the intention of this study is to determine the impact of Nasal High Flow Therapy (NHFT) on SNA and assess respiratory muscle function using state-of-the-art techniques.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Maximum Age: 75
Healthy Volunteers: t
View:

• Clinically diagnosed Asthma

• Age ≥ 18

• Ability and willingness to give informed consent to participate in the study

Locations
Other Locations
Germany
University Hospital RWTH Aachen-Department of Pneumology and Intensive Care
RECRUITING
Aachen
Time Frame
Start Date: 2023-07-01
Estimated Completion Date: 2024-05
Participants
Target number of participants: 30
Treatments
Asthma patients (n=20) out of them 10 with mild, controlled and 10 with severe, uncontrolled asthma
* Assessments of the SNA-axis. For this, HRV and dBPV will be analyzed using a 3-lead ECG and a continuous non-invasive arterial blood pressure signal. HRV and dBPV will be computed and presented as the high frequency , low frequency , their relative ratio (LF/HF), and the very low frequency component for both.~* MSNA will be recorded via a tungsten microelectrode placed in the peroneal nerve.~* NHFT at a flow rate of 20/30/40 liters/minute for 30 minutes respectively, with breaks of 15 minutes for all physiological variables to return to baseline.~* OSA severity: defined as apnoea-hypopnoea index \[AHI\] \>15/h and obstructive apnoea index \[OAI\] \>5/h~* Determination of PH and right HF severity (TAPSE ≤14 mm) and pulmonary arterial pressure (PAsys) using TTE.~* Comprehensive lung function and inspiratory muscle strength and function testing as described previously by our group.~* Assessment of systemic inflammation in blood samples.
Controls (n=10) (and in a group of healthy controls [2:1] matched for age, sex and BMI).
* Assessments of the SNA-axis. For this, HRV and dBPV will be analyzed using a 3-lead ECG and a continuous non-invasive arterial blood pressure signal. HRV and dBPV will be computed and presented as the high frequency , low frequency , their relative ratio (LF/HF), and the very low frequency component for both.~* MSNA will be recorded via a tungsten microelectrode placed in the peroneal nerve.~* NHFT at a flow rate of 20/30/40 liters/minute for 30 minutes respectively, with breaks of 15 minutes for all physiological variables to return to baseline.~* OSA severity: defined as apnoea-hypopnoea index \[AHI\] \>15/h and obstructive apnoea index \[OAI\] \>5/h~* Determination of PH and right HF severity (TAPSE ≤14 mm) and pulmonary arterial pressure (PAsys) using TTE.~* Comprehensive lung function and inspiratory muscle strength and function testing as described previously by our group.~* Assessment of systemic inflammation in blood samples.
Sponsors
Leads: RWTH Aachen University
Collaborators: ResMed

This content was sourced from clinicaltrials.gov