Acute Effect of Continuous Positive Airway Pressure in Heart Failure

This study is enrolling participants by invitation only.
Sponsor:
Collaborator:
Fundação de Amparo à Pesquisa do Estado de São Paulo
Information provided by:
UPECLIN HC FM Botucatu Unesp
ClinicalTrials.gov Identifier:
NCT01088854
First received: October 16, 2009
Last updated: April 29, 2010
Last verified: April 2010

October 16, 2009
April 29, 2010
October 2009
April 2010   (final data collection date for primary outcome measure)
improvement of isovolumetric relaxation time [ Time Frame: 30 minutes ] [ Designated as safety issue: No ]
Doppler-derived isovolumetric time will be measured before and after intervention (CPAP). A decreasing in isovolumetric time after CPAP will be interpretated as an improvement in myocardial relaxation
isovolumetric relaxation time and tissue Doppler-derived mitral annulus diastolic velocities. [ Time Frame: 30 minutes ] [ Designated as safety issue: No ]
Complete list of historical versions of study NCT01088854 on ClinicalTrials.gov Archive Site
walk distance in the walk-test-six-minute (WT6M) [ Time Frame: 30 minutes ] [ Designated as safety issue: No ]
subjects will be tested before and after procedure (CPAP). An increasing distance after procedure will be interpretated as improved tolerance to exercise
walk test six minutes [ Time Frame: 30 minutes ] [ Designated as safety issue: No ]
Not Provided
Not Provided
 
Acute Effect of Continuous Positive Airway Pressure in Heart Failure
Acute Effect of Continuous Positive Airway Pressure on Left Ventricular Diastolic Function and Exercise Tolerance in Compensated Heart Failure

Acute effects of CPAP on diastolic function in patients with compensated heart failure (CHF) are unknown. The investigators hypothesized that acutely CPAP improves diastolic function, which is associated with increases exercise tolerance.

Objective: To evaluate the acute effects of CPAP on functional capacity and diastolic indices of patients with CHF. This is a randomized trial including 44 patients with compensated heart failure (functional classes II or III, NYHA). Patients will be allocated in CPAP(CPAP with 10cmH2O) or simulated CPAP (null pressure) after computed randomization, in a 1:1 ratio. All subjects shall complete a 6-minute walk test (6MWT) before and after CPAP (30 minutes; 10 cm H2O pressure). Doppler-echocardiogram will be performed before and at the end of CPAP. Wilcoxon or paired t tests were used to compare results, with significance level at p < 0.05.

Not Provided
Interventional
Phase 2
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Subject)
Primary Purpose: Diagnostic
Heart Failure
Device: CPAP
unique session of 30-minute of continuous airway positive pressure
Experimental: positive airway pressure
Intervention: Device: CPAP
Bradley TD, Logan AG, Kimoff RJ, Sériès F, Morrison D, Ferguson K, Belenkie I, Pfeifer M, Fleetham J, Hanly P, Smilovitch M, Tomlinson G, Floras JS; CANPAP Investigators. Continuous positive airway pressure for central sleep apnea and heart failure. N Engl J Med. 2005 Nov 10;353(19):2025-33.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Enrolling by invitation
2
November 2010
April 2010   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • functional class II or III (NYHA)heart failure
  • agreement to participate in the study
  • absence of acute exacerbation of dyspnea
  • intact upper airway

Exclusion Criteria:

  • valvular heart disease
  • chest pain or unstable angina
  • acute myocardial infarction in the prior month
  • uncontrolled hypertension
  • atrial fibrillation or other arrhythmias
  • acute infection
  • orthopedic limitations
  • intolerance to CPAP mask
Both
18 Years and older
No
Contact information is only displayed when the study is recruiting subjects
Brazil
 
NCT01088854
upeclin/HC/FMB-Unesp-30
No
Beatriz Bojikian Matsubara, Faculdade de Medicina de Botucatu - Unesp
UPECLIN HC FM Botucatu Unesp
Fundação de Amparo à Pesquisa do Estado de São Paulo
Principal Investigator: Beatriz B Matsubara, MD Full Professor Botucatu Medical School; UNESP
UPECLIN HC FM Botucatu Unesp
April 2010

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP