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If pulmonary hypertension is suspected, a right heart catheterization is usually performed to confirm or rule out the diagnosis. As part of this examination, blood samples are taken from various locations as standard and blood gas analyses are performed. One of the most important measurements during the right heart catheterization is the measurement of the pulmonary arterial occlusion pressure by the so-called wedge maneuver. To measure this value, the catheter with inflated balloon must be advanced into the pulmonary vessels until the "wedge" position is reached, i.e. the balloon completely occludes a branch of the pulmonary artery. In this study, the investigators want to characterize patients with pulmonary hypertension of different causes in more detail. To do that, two blood samples (totaling approximately 4 mL of blood, one sample directly after occlusion and the other one two minutes later) will be drawn during the right heart catheterization from the above-mentioned "wedge" position", behind the inflated balloon, and blood gas analyses will be performed on these samples. In addition, various clinical parameters (comorbidities, etc.) will be recorded by means of clinical questionnaires. Follow-up data will be analyzed and correlations with the aforementioned blood gas analyses will be examined. The results of the study will be used to more precisely characterize the still vague concept of secondary pulmonary hypertension. This could help to develop new therapeutic strategies in some subgroups in the future.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| No pulmonary Hypertension |
| ||
| pulmonary Hypertension Group 1 |
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| pulmonary Hypertension Group 2 |
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| pulmonary Hypertension Group 3 |
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| pulmonary Hypertension Group 4 |
| ||
| pulmonary Hypertension Group 5 |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Blood gas analysis | Diagnostic Test | Two blood samples will be drawn from the "wedge" position", behind the inflated balloon, during the right heart catheterization, and blood gas analyses will be performed. First sample will be drawn directly after inflating the ballon, and the second one 2 minutes later. |
| Measure | Description | Time Frame |
|---|---|---|
| Between group differences | Differences in the Wedge-BGA between groups | At the time of recruitment |
| Measure | Description | Time Frame |
|---|---|---|
| Follow-up | Risk stratification and mortality after 1 and 5 years | 1 and 5 years |
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Inclusion Criteria:
Exclusion Criteria:
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All patients receiving right heart catheterization for appropriate indications will be interviewed for their consent to participate in the study
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital RWTH Aachen | Recruiting | Aachen | 52062 | Germany |
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| ID | Term |
|---|---|
| D006976 | Hypertension, Pulmonary |
| ID | Term |
|---|---|
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D006973 | Hypertension |
| D014652 | Vascular Diseases |
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| ID | Term |
|---|---|
| D001784 | Blood Gas Analysis |
| ID | Term |
|---|---|
| D001774 | Blood Chemical Analysis |
| D019963 | Clinical Chemistry Tests |
| D019411 | Clinical Laboratory Techniques |
| D019937 | Diagnostic Techniques and Procedures |
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|
| D002318 |
| Cardiovascular Diseases |
| D003933 | Diagnosis |
| D012129 | Respiratory Function Tests |
| D003948 | Diagnostic Techniques, Respiratory System |
| D008919 | Investigative Techniques |