Cardiac Disease
Conditions
Brief summary
This study will investigate whether applying high mechanical index (MI) impulses from a diagnostic ultrasound transducer when using ultrasound enhancing agent (UEA) microbubble infusion will result in subclinical improvement in left ventricle systolic function.
Detailed description
The purpose of this study is to investigate whether applying high MI impulses from a diagnostic ultrasound transducer when using ultrasound enhancing agent(UEA) microbubble infusion will result in subclinical improvement in LV systolic function detected by left ventricular outflow tract velocity time integral (LVOT VTI).
Interventions
patients will receive intermittent high MI impulses(\>1.0) in addition to low MI imaging. LVOT VTI will be measured at different times per protocol.
patients will receive low MI imaging only. LVOT VTI will be measured at different times per protocol.
Sponsors
Study design
Eligibility
Inclusion criteria
age 19 years or older
Exclusion criteria
1. severe aortic valve stenosis 2. pregnant or lactating women 3. atrial fibrillation 4. very poor image quality despite contrast use. 5. unstable cardiac condition such as cardiogenic shock. 6. allergy to UEA 7. presence of right to left or bidirectional shunts. 8. Patients on mechanical circulatory support.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Left Ventricle Outflow Tract (LVOT) First Ventilatory Threshold VTI | 10 minutes | Left Ventricle Outflow Tract (LVOT) First Ventilatory Threshold VTI |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| stroke volume | 10 minutes | The volume of blood pumped out of the left ventricle of the heart during each systolic cardiac contraction |