Healthy Volunteer
Conditions
Keywords
aortic blood pressure, diastolic dysfuntion, echocardiography, left ventricular ejection fraction
Brief summary
This is a cross-sectional cohort study which aims to compare the invasive and non-invasive assessments on aortic blood pressure and cardiac funtion in subjects without history of cardio-vascular disease. Left ventricular (LV) filling pressure, LV volume, and aortic blood pressure will be measured invasively. Non-invasive assessment includes echocardiography,aortic, and carotid blood pressure measurement.
Interventions
Left ventricular (LV) polyethylene catheter was inserted into left ventricular to directly measure LV filling pressure.
Aortic blood pressure will be measured with polyethylene catheter in aortic root.
Echocardiography will be performed in all participants to assess left ventricular diastolic function non-invasively.
Three devices (Sphygmocor \[AtCor Medical, Australia\], PulsePen \[DiaTecne SRL, Italy\], and Mobil-O-Graph \[IEM, Germany\] ) will be used to assess aortic blood pressure non-invasively when participants are undergoing invasive aortic blood pressure measurement.
Sponsors
Study design
Eligibility
Inclusion criteria
* Over or equal to 18 years old; * Agree to participate the study and sign informed written consent; * Any change of drugs which effect the hemodynamics during 1 month prior to enrollment; * Proposed to perform coronary angiography and left left ventriculography in hospital;
Exclusion criteria
* Non-sinus rhythm or frequent extra systoles; * Identified coronary artery disease via coronary angiography; * Diagnosed pulmonary vascular or parenchymal disease; * Hypertrophic cardiomyopathy, restrictive cardiomyopathy, or constrictive pericarditis; * Stenosis or insufficiency of valves (moderate and above); * Heart transplant; * Congenital heart disease; * Inadequate imaging or doppler parameter quality in echocardiography.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Left ventricular filling pressure assessment with left heart catheterization | 1 day | All participants will receive invasive left ventricular filling pressure assessment with left heart catheterization. |
| Left ventricular diastolic function assessment with echocardiography using ASE recommendations | 1 day | All participants will receive non-invasive left ventricular diastolic function assessment with echocardiography. The ASE-recommended (American Society of Echocardiography) creteria would be used to define left ventricular diastolic dysfunction. |
| Left ventricular diastolic function assessment with echocardiography using EACVI recommendations | 1 day | All participants will receive non-invasive left ventricular diastolic function assessment with echocardiography. The EACVI-recommended (European Association of Cardiovascular Imaging) creteria would be used to define left ventricular diastolic dysfunction. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Aortic blood presure obtained with Sphygmocor device | 1 day | Sphygmocor device (AtCor Medical, Australia) will be used in non-invasive aortic blood presure measurement with standard protocols shown in its user manual. |
| Aortic blood presure obtained with catheterization | 1 day | Catheterization will be used in invasive aortic blood presure measurement. The cather will be placed in the aortic root while measuring the blood pressure. |
| Aortic blood presure obtained with PulsePen device | 1 day | PulsePen device (DiaTecne SRL, Italy) will be used in non-invasive aortic blood presure measurement with standard protocols shown in its user manual. |
| Aortic blood presure obtained with Mobil-O-Graph device | 1 day | Mobil-O-Graph (IEM, Germany) device will be used in non-invasive aortic blood presure measurement with standard protocols shown in its user manual. |