Hemodialysis patients
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Adult (age above 18) HD patients who have been treated with HD for at least six months. Patients must have an arterio-venous fistula without recirculation established by Transonic flow measurements. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: 1. The absence of informed consent (see ethical considerations) 2. The need to perform HD with pre-dilution. 3. Recent haemorrhage. 4. Unstable angina pectoris. 5. History of myocardial infarction. 6. Inability to endure a horizontal position for a longer period of time. 7. Arrhythmia. 8. The use of long-acting nitrates. 9. Left ventricular ejection fraction = 30%. 10. Diabetes Mellitus. 11. Pregnancy or suspicion hereof.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: In this study we propose to evaluate first; the technical and logistical feasibility of measuring changes in myocardial perfusion and left ventricular function with gated 13N-NH3 PET before and during HD. Second: to study changes in myocardial perfusion and left ventricular function before and during hemodialysis. ;Secondary Objective: ;Primary end point(s): The outcome parameters are changes in cardiac output, myocardial contractility, left ventricular ejection fraction, left ventricular diameter, left ventricular end-systolic volume, left ventricular end-diastolic volume, left ventricular myocardial perfusion in ml/min/g and regional wall motions. Data will be analysed quantitatively and displayed in a 17-segment polar map as recently proposed. Each individual session will be evaluated for pre- and post-study body weight, total ultrafiltration volume, blood pressure and the course of relative blood volume (measured non-invasively by an RBV monitor) throughout the study. | — |
Countries
Netherlands