Pulmonary Hypertension
Conditions
Brief summary
Pulmonary arterial hypertension is a rare condition characterised by high blood pressure in the lungs and results in breathlessness and reduced exercise capacity for patients. Previous research has shown weakness in respiratory muscles in these patients that may contribute towards their symptoms. Despite advances in medical therapy, the condition still results in a significant symptom burden. Inspiratory muscle training is a non-invasive intervention involving a device that provides resistance to the muscles of inspiration and increases their strength. This study will investigate the benefit of inspiratory muscle training in patients with pulmonary arterial hypertension who are stable on medical therapy for three months. This will be performed as an outpatient and they will then be reviewed following this with assessment of exercise capacity, breathing capacity (spirometry), quality of life, and assessment of neural respiratory drive (the signals from the brain to the muscles controlling breathing). The study will be based at the Golden Jubilee National Hospital and patients will be recruited from outpatients who are already under the care of the Scottish Pulmonary Vascular Unit.
Interventions
Inspiratory muscle training, 6 cycles of 30 breaths for 12 weeks.
Sponsors
Study design
Eligibility
Inclusion criteria
* diagnosed by pulmonary hypertension specialist with precapillary pulmonary hypertension * able to give consent * stable on medical therapy for at least 3 months
Exclusion criteria
* significant contribution to pulmonary hypertension from lung disease * pregnant
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Six minute walking distance | 3 months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quality of life: emPHasis 10 score | 3 months | emPHasis 10 score |
| Peak VO2 | 3 months | Assessed by cardiopulmonary exercise test |
| VE/VCO2 slope | 3 months | Assessed by cardiopulmonary exercise test |
Countries
United Kingdom