About this trial
The purpose of this study is to characterize pulmonary hemodynamic profiles, with a focus on PVR subtypes, in patients with left-sided valvular heart disease undergoing aortic or mitral valve intervention, and to identify patterns predicting reversibility of TR and RV dysfunction.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
≥18 years old; AND
Scheduled for valve procedures
Disqualifiers
Congenital heart disease (except for bicuspid aortic valve), OR
Carcinoid heart disease, OR
Valvular mass, OR
Endocarditis, OR
Trial population
The study population will consist of patients scheduled to undergo transcatheter aortic, mitral, or tricuspid valve interventions at Mayo Clinic Rochester.
Trial design
Cohort
Prospective
Treatments tested in this trial
Echocardiogram
Diagnostic testAn echocardiogram will be performed during the patient's routinely scheduled right heart catheterization.
Treatment groups
Trial outcomes
Primary outcomes
Tricuspid Regurgitation (TR) reduction
Tricuspid Regurgitation (TR) reduction will be defined as ≥1 grade reduction
Right Ventricular function improvement
Right Ventricular function improvement will be defined as ≥5% in Right Ventricular free wall longitudinal strain
Secondary outcomes
Number of Hospitalizations
Number of Hospitalizations will be determined by the number of patients admitted to the hospital post procedure
Number of Deaths
Number of Death will be determined by the number of patients that pass away post procedure due to any cause
Kansas City Cardiomyopathy Questionnaire (KCCQ)
KCCQ is a 12-item questionnaires that measure the participant's perception of their health status, including their heart failure (HF) symptoms, impact on physical and social function and how their HF impacts the quality of life. Scores were generated for each domain and scaled from 0 to 70, with 0 (worst) and 70 (the best possible status), where the higher score reflected better health status.
Right atrial area change
Right atrial area change is used to assess right vascular function. It will measure the area of change within the right ventricle between diastole and systole as a percentage.
Sponsors and contacts
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