Cardiopulmonary Exercise Testing in Severe Mitral Regurgitation
Study Details
Study Description
Brief Summary
The purpose of this study is the evaluation of cardiac and pulmonary response to cardiopulmonary exercise in severe mitral regurgitation and its variation under treatment (surgical mitral valve repair, percutaneous mitral valve repair, optimal medical treatment). The study is conducted as a prospective, observational, single-center study. Patients suffering from symptomatic severe mitral regurgitation will be eligible, if they are referred to the University Hospital of Regensburg, Germany, for further diagnostic procedures and heart team discussion. Cardiopulmonary exercise testing is performed comprising standardized stress echocardiography as well as ergospirometry. Additional detailed assessment will be conducted including standardized questionary, clinical examination, transesophageal echocardiography and measurement of biomarkers.
Condition or Disease | Intervention/Treatment | Phase |
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Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Severe mitral regurgitation
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Outcome Measures
Primary Outcome Measures
- exercise-induced systolic pulmonary arterial pressure [Change from Baseline Exercise-Induced Systolic Pulmonary Arterial Pressure at 1 year]
exercise-induced systolic pulmonary arterial pressure measured by stress- echocardiography
Secondary Outcome Measures
- peak oxygen uptake (peakVO2) [Change from Baseline peakVO2 at 1 year]
peak oxygen uptake measured by ergospirometry
Eligibility Criteria
Criteria
Inclusion Criteria:
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symptomatic, severe mitral regurgitation
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referral for diagnostic work-up and heart team discussion
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declaration of informed consent
Exclusion Criteria:
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contra-indication for cardiopulmonary stress examination (unstable angina pectoris, left main disease, abnormal electrolyte concentrations, acute decompensation)
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pregnancy
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exercise test on treadmill not possible (amputation of lower extremity, severe arthritis of lower extremities)
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no acceptable acoustic window at rest
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | University Hospital Regensburg - Department of Internal Medicine II | Regensburg | Germany | 93053 |
Sponsors and Collaborators
- University Hospital Regensburg
Investigators
- Principal Investigator: Alexander Dietl, MD, University Hospital Regensburg
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- UHRegensburg1