Echocardiographic Measurement of Myocardial Work

Launched by CENTRE HOSPITALIER UNIVERSITAIRE DE NICE · May 14, 2024

Keywords

ClinConnect Summary

This clinical trial is looking at a new way to measure how well the heart is working in patients who are critically ill, especially those in shock. The researchers want to see if this new method, which uses echocardiography (a type of ultrasound for the heart), can give better information about heart function than traditional methods. They will measure different aspects of the heart's work, which may help doctors understand the impact of treatments like fluids or medications on heart performance.

To participate in the trial, patients aged 65 and older who need fluid or norepinephrine (a medication to help raise blood pressure) may be eligible. However, some patients will not be included, such as those with certain heart conditions or who have ordered not to be resuscitated. If enrolled, participants can expect to undergo non-invasive heart measurements while receiving their usual care in the intensive care unit. This study is important because it may improve how doctors manage heart function in critically ill patients.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Indication to fluid administration left to the discretion of the attending physician
• • Indication to norepinephrine administration or increase in norepinephrine dosage left to the discretion of the attending physician.
• Exclusion Criteria:
• • Patients under protection.
• • Patients with do not ressuscitate order.
• • Patients with severe left-side or right-side valvulopathy.
• • Patients with atrial fibrillation.
• • Patients with ventricular aneuvrysm or severe regional wall motion abnormalities.
• • Patients with a pacemaker.
• • Patients' objections to the collection of their health data.