OCTOPUS: Optimized Characterization of Takotsubo Syndrome by Obtaining Pressure Volume Loops
Study Details
Study Description
Brief Summary
Aim of this prospective study is to assess the pathophysiology of Takotsubo Syndrome by obtaining pressure volume loops with conductance catheters, which allows detailed conclusions regarding systolic and diastolic hemondynamics and subsequently regarding potential underlying mechanisms
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Study Design
Outcome Measures
Primary Outcome Measures
- Changes in contractility derived from pressure-volume measurements [Day 0]
systolic/diastolic pressure-volume relationship (mmHg/ml)
- Changes in contractility derived from pressure-volume measurements [Day 0]
peak-power index (mmHG/s)
- Changes in contractility derived from pressure-volume measurements [Day 0]
peak filling rate (ml/s)
- Changes in contractility derived from pressure-volume measurements [Day 0]
stroke work (mmHG x ml)
- Changes in contractility derived from pressure-volume measurements [Day 0]
relaxation constant "Tau" (ms)
- Changes in contractility derived from pressure-volume measurements [Day 0]
time to Emax (ms)
- Changes in contractility derived from pressure-volume measurements [Day 0]
max/min rate of left ventricular pressure change (mmHg/s)
Secondary Outcome Measures
- Energetic parameters derived from pressure-volume measurements [Day 0]
stroke work, potential energy (mmHg x ml)
- Energetic parameters derived from pressure-volume measurements [Day 0]
total pressure volume area (mmHg/ml)
- Afterload parameters derived from pressure-volume measurements [Day 0]
arterial elastance (mmHg/ml)
- Afterload parameters derived from pressure-volume measurements [Day 0]
ventricular arterial coupling (no dimension)
- Afterload parameters derived from pressure-volume measurements [Day 0]
total arterial compliance (mmHg/ml)
- - Correlation of pressure-volume measurements with morphological and functional findings in CMR imaging [Day 3]
(presence of myocardial edema or late gadolinium enhancement, native T1 time, myocardial strain assessed by CMR feature tracking)
- - Correlation of pressure-volume measurements with biomarker release [Day 0]
(troponin, NT-proBNP)
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Confirmed Takotsubo syndrome according to current diagnostic criteria including complete normalization of left ventricular function during follow-up
-
Sinus rhythm during invasive measurements
-
Age ≥18 years
-
Written informed consent
Exclusion Criteria:
-
Cardiogenic shock
-
Signs of myocarditis or myocardial infarction with spontaneous lysis of thrombus in cardiac magnetic resonance imaging
-
Pregnancy
-
Participation in another trial
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Medical clinic II-UKSH | Luebeck | Schleswig-Holstein | Germany | 23562 |
Sponsors and Collaborators
- University of Luebeck
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 17-078