pulmonary hypertension right heart failure
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Diagnosis of idiopathic PAH, hereditary PAH, drug- and toxins induced PAH or chronic thrombo-embolic PH (CTEPH), according to ESC/ERS pulmonary hypertension guidelines (15) - Symptoms of decompensated right heart failure (ankle edema, ascites, weight gain) based on the assessment and the evaluation of the pulmonologist for which an up-titration of the diuretics is indicated - Age >=18 and
Exclusion criteria
Exclusion criteria: - Pregnant subjects - Claustrophobia - Inability to provide informed consent - Change in PAH specific therapy during or the 3 months before the up-titration of diuretics - Change in (dose) of any other medication. - One or more of the following co-morbidities:, uncontrolled systemic hypertension (>140/90 mmHg) , renal failure (eGFR
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in stroke volume (SV) , Change in right ventricular ejection fraction (RVEF) (%), Change in right ventricular end diastolic volume (RVEDV) (ml), Change in right ventricular end systolic volume (RVESV) (ml), Change in right atrial pressure (RAP),volume, Change in right ventricular strain. | — |
Secondary
| Measure | Time frame |
|---|---|
| nvt | — |
Countries
Netherlands