Risk Factor Assessment for Acute Pulmonary Hypertension Crisis

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
AgeNot listed
SponsorPeking Union Medical College Hospital

About this trial

The goal of this observational study is to learn about pulmonary hypertension crisis (PHC) - a severe, and often fatal complication - in patients with pulmonary hypertension (PH). The main questions this study aims to answer are:

What are the clinical and hemodynamic features of PHC, and what underlying pathophysiological mechanisms cause it to develop? Can these features be used to diagnostic PHC, predict who is at risk of developing it or dying from it, and develop targeted prevention and treatment of PHC?

A multi-center registry platform and biobank will be established to enroll and follow up patients with PH. Clinical data, hemodynamic measurements, and biological specimen will be collected. Risk prediction and early warning tools of PHC will be developed.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Pulmonary hypertension confirmed by mean pulmonary arterial pressure (mPAP) over 20 mmHg measured by right heart catheter

At least once per year of follow-up data collection record

Disqualifiers

Patients with missing baseline or follow-up data

Complicated by other diseases with significant influence on survival, such as acute coronary syndrome, malignancy, etc.

Complicated by other diseases with significant influence on hemodynamics, such as sepsis, acute left heart failure, and acute pulmonary embolism, etc.

Receiving medications with significant influence on hemodynamics

Trial population

Patients with pulmonary hypertension confirmed by right heart catheterization

Trial design

Design model

Cohort

Time perspective

Other

Treatments tested in this trial

Not listed

Trial groups

5,000 Participants
are grouped into 1 trial group
Group A: Pulmonary hypertension

Trial outcomes

Primary outcomes

1

Pulmonary hypertension crisis

Critical increase of pulmonary vascular resistance accompanied by right heart dysfunction and systemic hypoperfusion

Time frame
From enrollment to 3 years after enrollment
2

28 day mortality attributed to pulmonary hypertension crisis

Death attributed to pulmonary hypertension crisis within 28 days of hospitalization

Time frame
From hospitalization to 28 days

Secondary outcomes

1

All cause mortality within hospitalization

All cause death within hospitalization

Time frame
From hospitalization to discharge or documented death, whichever is earlier, assessed up to 3 years
2

All cause mortality within 3 years

All cause death within 3 years from the diagnosis of pulmonary hypertension crisis

Time frame
From the diagnosis of pulmonary hypertension crisis to documented death, assessed up to 3 years

Other outcomes

Sponsors and contacts

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