800 Participants Needed

Contrast Echocardiography for Heart Failure

CF
BB
Overseen ByBarry Borlaug, MD
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Mayo Clinic
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to determine if a special type of heart ultrasound, called contrast echocardiography, can measure blood flow in the lungs during exercise without invasive tests. Researchers will compare results between individuals with and without heart problems and lung blood vessel issues. It suits those who experience breathing difficulties during exercise and are undergoing evaluation for heart and lung issues in a hospital setting. As an unphased trial, this study allows participants to contribute to innovative research that could enhance non-invasive testing methods for heart and lung conditions.

What prior data suggests that this method is safe for evaluating pulmonary blood volume?

Research has shown that contrast echocardiography is generally safe for patients, including those with serious heart and lung issues. Studies indicate that patients tolerate it well, especially with the common contrast agent perflutren microbubbles.

Few reports of serious side effects exist. Most patients experience no side effects or only mild ones, such as a brief warm feeling. However, certain conditions, like specific types of heart shunts, may require extra caution.

Overall, existing evidence supports the safe use of contrast echocardiography for various heart-related evaluations.12345

Why are researchers excited about this trial?

Researchers are excited about using contrast echocardiography during exercise because it could provide real-time insights into how blood volume changes in the lungs during physical activity. Unlike traditional methods that might only assess lung function at rest, this technique allows for dynamic observation while the body is under stress, which can offer a clearer picture of pulmonary health. This could lead to better diagnosis and treatment plans for individuals with conditions affecting pulmonary circulation, offering a more personalized approach to managing these issues.

What evidence suggests that contrast echocardiography is effective for evaluating heart failure?

Research has shown that contrast echocardiography effectively checks heart function. Studies have found that it greatly improves the clarity of heart images, especially for patients with typically unclear images. For instance, it makes spotting problems with heart muscle movement easier. It also provides a better estimate of heart pumping efficiency compared to some basic imaging methods. This suggests that contrast echocardiography could be helpful in assessing heart issues, such as heart failure, during exercise.46789

Who Is on the Research Team?

BB

Barry Borlaug, MD

Principal Investigator

Mayo Clinic

Are You a Good Fit for This Trial?

Inclusion Criteria

You are being referred for a heart test called exercise right heart catheterization to check for breathing problems during physical activity.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Exercise Assessment

Participants undergo contrast echocardiography to assess pulmonary blood volume during exercise

1 day
1 visit (in-person)

Rest Assessment

Participants undergo measurements of cardiac output, pulmonary blood volume, and other parameters at rest

1 day
1 visit (in-person)

Follow-up

Participants are monitored for safety and effectiveness after assessments

4 weeks

What Are the Treatments Tested in This Trial?

Find a Clinic Near You

Who Is Running the Clinical Trial?

Mayo Clinic

Lead Sponsor

Trials
3,427
Recruited
3,221,000+

Citations

Impact of Contrast Echocardiography on Assessment of ... - PMCThe percentages of inadequate assessment of LV wall motion, before and after contrast, were 28.4% and 3.5%, respectively (p<0.001). LV apex delineation was also ...
Contrast-Enhanced Echocardiography Has the Greatest ...Contrast use in patients with suboptimal images affects patient care, especially in patients who have reduced precontrast estimated LVEF.
Impact of Contrast Echocardiography on Evaluation ...After contrast administration, there was no change in the patient's vital signs or electrocardiogram. He died 5 h later of continued severe heart failure.
Contrast echocardiography: a practical guideline from the ...Contrast echocardiography is effective in improving assessment of cardiac structure and function both at rest and during stress ...
Diagnostic accuracy and cost-effectiveness of contrast ...Contrast had the best sensitivity (89%) for detecting wall motion abnormalities. Estimation of ejection fraction was possible in 31% with fundamental imaging, ...
Safety With Echocardiographic Contrast Agents | CirculationIn this review, we will address the safety of ECA use in patients with serious cardiopulmonary conditions, patients with intracardiac shunts, and special ...
A review of the safety and clinical utility of contrast ...... heart (mainly the right atrium) and identify intracardiac shunts. ... The diagnosis of LV non-compaction was confirmed with cardiac magnetic resonance imaging.
Safety and Efficacy of Commercially Available Ultrasound ...Failure to use contrast agents in patients with ... Cardiac Imaging Committee of the Council on Clinical Cardiology of the American Heart Association.
Safety and Feasibility of Contrast Echocardiography for ...Contrast echocardiography (CE) with perflutren microbubbles has been validated as a safe and effective method to evaluate cardiac chamber ...
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