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Acute Exposure of Simulated Hypoxia on Cognitive Function

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Sponsorlar
University of Zurich

Anahtar kelimeler

Öz

Randomized crossover Trial in patients with Pulmonary Hypertension (PAH, CTEPH) to assess the acute response to simulated altitude (FiO2:15.1, equivalent to 2500m above sea level) on cognitive functions.

Açıklama

Low altitude baseline measurements will be performed in Zurich (460m asl) including Echocardiography, Right heart catheterization, six-minute walk test (6MWT), pulmonary function test, clinical assessment and blood gas Analysis.

Randomly assigned to the order of testing, the participants will be tested under simulated altitude (FiO2: 15.1% with the "AMC Altitrainer") and shamed altitude with the same device.

During the exposure to simulated altitude (FiO2: 15.1%) of approximately 1 hour, the participants will perform cognitive function test .

The results will be compared under hypoxic and normal conditions.

Tarih

Son Doğrulandı: 12/31/2019
İlk Gönderilen: 07/08/2018
Tahmini Kayıt Gönderildi: 08/15/2018
İlk Gönderilen: 08/16/2018
Son Güncelleme Gönderildi: 01/05/2020
Son Güncelleme Gönderildi: 01/06/2020
Fiili Çalışma Başlangıç Tarihi: 06/30/2018
Tahmini Birincil Tamamlanma Tarihi: 03/31/2019
Tahmini Çalışma Tamamlanma Tarihi: 03/31/2019

Durum veya hastalık

Pulmonary Hypertension

Müdahale / tedavi

Device: Simulated Altitude (FiO2: 15.1%)

Device: Shamed Hypoxia (FiO2: 20.9)

Evre

-

Kol Grupları

KolMüdahale / tedavi
Experimental: Order air-hypoxia
The participants will be exposed to shamed hypoxia (FiO2: 20.9% equivalent to sea level and consecutively to simulated altitude (FiO2: 15.1% equivalent to 2500m above sea level) administered by an altitude Simulator ("Altitrainer, SMTEC"), simulated altitude (FiO2: 15.1%), with a facemask.
Experimental: Order hypoxia-air
The participant will be exposed to hypoxia (FiO2, 15.1% equivalent to 2500m above sea level), simulated altitude (FiO2: 15.1%), and consecutively to shamed hypoxia (FiO2, 20.9%) administered by an altitude simulator ("Altitrainer, SMTEC") with a facemask.

Uygunluk kriterleri

Çalışmaya Uygun Yaşlar 18 Years İçin 18 Years
Çalışmaya Uygun CinsiyetlerAll
Sağlıklı Gönüllüleri Kabul EdiyorEvet
Kriterler

Inclusion Criteria:

- Informed consent

- PH diagnosed according to internation Guidelines: mean pulmonary artery pressure (mPAP) ≥ 25 mmHg along with a pulmonary artery wedge pressure (PAWP) ≤15 mmHg during right heart catheterization at the time of initial diagnosis

- PH class 1 (PAH) or 4 (CTEPH)

- Stable condition, on the same medication for > 4 weeks

- Patient live permanently at an altitude < 1000m asl.

Exclusion Criteria:

- Resting partial oxygen pressure (PaO2) ≤7.3 kilopascal (kPA) corresponding to the requirement of long-term oxygen therapy > 16hour daily (nocturnal oxygen therapy alone is allowed)

- Severe daytime hypercapnia (pCO2 > 6.5 kPa)

- Susceptibility to high altitude related diseases (AMS, high-altitude pulmonary edema (HAPE), etc.) based on previous experienced discomfort at altitudes.

- Exposure to an altitude >1500m for ≥3 nights during the last 4 weeks before the study participation

- Residence > 1000m above sea level

- Inability to follow the procedures of the study, e.g. due to language problems, psychological disorders, neurological or orthopedic problems with walking disability

- Women who are pregnant or breast feeding

Sonuç

Birincil Sonuç Ölçütleri

1. Cognitive Function test [2 hours]

Change in cognitive function test time during the exposure to simulated altitude (FiO2: 15.1%) and normoxia

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