Pulmonary Hypertension, Breathing-Related Sleep Disorder
Conditions
Keywords
Breathing-Related Sleep Disorder, Pulmonary Hypertension
Brief summary
The purpose of this study is to study the differential short-term effect of nocturnal oxygen, acetazolamide tablets and nocturnal non-invasive positive pressure ventilation on symptoms, exercise capacity and nocturnal breathing disturbances in subjects with pulmonary hypertension and sleep related breathing disorders * Trial with medicinal product
Interventions
250 mg bid
Oxygen deliverded by nasal cannula
Bi-level non-invasive ventilation via nasal mask
Room air applied via sham oxygen concentrator
Placebo tablet (Mannitol) similar to acetazolamide
Sponsors
Study design
Eligibility
Inclusion criteria
* percapillary pulmonary hypertension diagnosed by right heart catheterisation -- stable therapy and clinical condition for at least 4 weeks * sleep disordered breathing with apnea/hypopnea index \> 10 events/h and/or median nocturnal oxygen saturation \<90%
Exclusion criteria
* Pregnancy * severe daytime hypoxemia (PaO2 \< 7.2 kPA) * patients with predominantly obstructive sleep apnea.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| exercise capacity | 1 week | Assessment by the 6 minute walk distance |
| Quality of Life | 1 week | Assessment by the short form of the SF 36 questionnaire |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| venous blood analysis | 1 week | C reactive protein NT-proBNP IL-6 |
| Nocturnal oxygen desaturation | 1 week | Assessed by fingertip puleoxymetry |
| sleep related breathing disorders | 1 week | assessed by polysomnography according to standard techniques |
| Vigilance | 1 week | Assessed by the MURT test |
| arterial blood analysis | 1 week | oxygenation electrolytes |
| hemodynamics measured by echocardiography | 1 week | right ventricular dimension right ventricular over right atrial pressure |
Countries
Switzerland