Pulmonary Arterial and Chronic Thromboembolic Pulmonary Hypertension
Conditions
Brief summary
In this randomized-controlled, cross-over trial the investigators test the effect of long-term oxygen therapy (\> 16h/day) given for 5 weeks with a wash-out period between phases of 2 weeks on exercise performance and quality of life and many physiological parameters in patients with pulmonary arterial and chronic thromboembolic pulmonary hypertension.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
\- Adult patients with established diagnosis of pulmonary arterial or chronic thromboembolic pulmonary hypertension (class I and IV according to the latest WHO classification scheme of Dana Point 2008) on optimized medical therapy and in stable condition for at least 4 weeks, who desaturate in the 6 minute walking test by =4% to values \<92%.
Exclusion criteria
* Patients in unstable conditions requiring frequent therapeutic adaption * pregnant women * patients with pulmonary venous hypertension due to left heart diseases * patients with relevant concomitant lung disease and severe daytime hypoxemia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 6 minute walk test | 5 weeks | 6 minute walk distance according to american thoracic society (ATS) guidelines |
| Quality of life | 5 weeks | QoL assessed by the short form of the medical outcome questionnaire (SF-36) physical functioning scale |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Daily activity | 5 week | measured by actigraphy |
| hemodynamics by echocardiography | 5 weeks | Full echocardiographic assessment |
| quality of life | 5 weeks | SF-36 |
| arterial blood gas | 5 weeks | partial pressure of oxygen (PaO2) |
| operating hours of oxygen concentrator | 5 weeks | efficacy of oxygen treatment |
| mean nocturnal oxygen saturation | 5 weeks | Ambulatory Sleep Study |
| tests of cognitive performance | 5 weeks | STROOP-Test |
| Quality of life | 5 weeks | Minnesota living with heart failure questionnaire |
| Venous blood | 5 weeks | N-terminal brain natriuretic peptide (NT-proBNP) |
Countries
Switzerland