Effort-Lung Ultra Sound (E-LUS)

March 9, 2023 updated by: Mathieu ECHIVARD, Central Hospital, Nancy, France

Positive Diagnosis of Heart Failure With Preserved LVEF by Exercise Pulmonary Ultrasound.

The E-LUS study is a prospective, non randomised, monocenter case-control study.

The main objective is to evaluate the association of exercise lung ultrasound data acquired during a stress test on a bicycle ergometer with the diagnosis of heart failure with preserved ejection fraction (HFpEF).

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Secondary objectives:

  1. To assess the diagnostic performance of exercise lung ultrasound for the diagnosis of HFpEF.
  2. To identify the value of the B-lines score on exercise maximizing the sensitivity and specificity for the diagnosis of HFpEF.
  3. To evaluate the relationship of the delta of B-lines scores between rest and exercise with the diagnosis of HFpEF.
  4. To assess the diagnostic performance of the delta of B-lines between rest and exercise for the diagnosis of HFpEF.
  5. To identify the score of the delta of B-lines value between rest and exercise maximizing sensitivity and specificity for the diagnosis of HFpEF.
  6. To evaluate the relationship between the resting value of the B-lines scores with the diagnosis of HFpEF.
  7. To assess the diagnostic performance of the resting lung ultrasound for the diagnosis of HFpEF.
  8. To identify the value of the B-lines score at rest maximizing the sensitivity and specificity for the diagnosis of HFpEF.
  9. To evaluate the correlation between the B-line score measured at rest and exercise and the dyspnoea score measured at rest, during exercise, and during the recovery phase.
  10. To assess the correlation of the delta of B-lines scores between rest and exercise and the dyspnoea score measured at rest, during exercise and during the recovery phase.

Study Type

Observational

Enrollment (Actual)

56

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact Backup

Study Locations

      • Vandœuvre-lès-Nancy, France, 54500
        • CHRU de NANCY

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

65 years and older (Older Adult)

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

All

Sampling Method

Non-Probability Sample

Study Population

Patients aged 65 years and older scheduled for a stress test.

Description

Inclusion Criteria (Control group) :

  • Patients 65 years of age and older scheduled for a stress test.
  • Never diagnosed with either preserved or altered ejection fraction heart failure
  • Non-dyspneic (New York Heart Association class I)

Inclusion Criteria (Case group) :

  • Patients 65 years of age and older scheduled for a stress test.
  • Patients already diagnosed with HFpEF following hospitalization for heart failure (LVEF>50%)

Exclusion Criteria:

  • Patients who are opposed to participate to the research project / the use of their data,
  • Pulmonary or pleural pathology preventing reliable acquisition of lung ultrasound images (e.g. pulmonary fibrosis, diffuse interstitial lung disease or lung cancer)
  • Patients with a history of thoracic surgery
  • Patients under legal protection measures (guardianship, curator, judicial safeguard),
  • Pregnant women, parturient women or nursing mothers,
  • Patients who are unable to express consent,
  • Persons deprived of their liberty by a judicial or administrative decision,
  • Persons subject to psychiatric care,
  • Patients discharged from hospital for a worsening heart failure hospitalization for less than 15 days

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

Cohorts and Interventions

Group / Cohort
Intervention / Treatment
Case group: patients with heart failure with preserved ejection fraction
A lung ultrasound before and at the end of the stress test.
Control Group:Never diagnosed with either preserved or altered ejection fraction heart failure.
Non dyspnoeic patients with no history of Heart failure.
A lung ultrasound before and at the end of the stress test.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
The exercise B-lines score measured by the 8-point method.
Time Frame: Within 2 minutes after the end of the stress test
This score can have a value from 0 to 80, each anterior thoracic measurement point being rated from 0 to 10. A higher value indicate a higher level of pulmonary congestion. The measurement will be taken at the end of the stress test, in the first 2 minutes of recovery
Within 2 minutes after the end of the stress test

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
The diagnosis of HFpEF, as defined by a history of hospitalization for acute heart failure with preserved Left Ventricular Ejection Fraction (LVEF).
Time Frame: Within 10 minutes prior the start of the stress test
For secondary objectives 1, 2, 4, 5, 7 and 8, the endpoint will be the diagnosis of HFpEF, as defined by a history of hospitalization for acute heart failure with preserved LVEF.
Within 10 minutes prior the start of the stress test
2. The delta of B-lines scores during exercise measured by the 8-point method between rest and the end of the exercise
Time Frame: Between Within 10 minutes prior the start of the stress test and 2 minutes after the end of the stress test
Regarding secondary objective 6, the judgment criterion will be the score of B-lines at rest measured by the 8-point method within 10 minutes prior the start of the stress test. This score can have a value from 0 to 80, each anterior thoracic measurement point being rated from 0 to 10. A higher value indicate a higher level of pulmonary congestion.
Between Within 10 minutes prior the start of the stress test and 2 minutes after the end of the stress test
The B-lines score at rest measured by the 8-point method
Time Frame: Within 10 minutes prior the start of the stress test
Within 10 minutes prior the start of the stress test
The modified Borg dyspnea score at rest, during exercise and during recovery.
Time Frame: Within 10 minutes prior the start of the stress test, at the peak of exercise and 3 minutes after the end of the stress test
For secondary objectives 9 and 10, the endpoint will be the modified Borg dyspnea score at rest, during exercise and during recovery. This scale is ranging from 0 to 10, 10 indicating a maximal level of dyspnea.
Within 10 minutes prior the start of the stress test, at the peak of exercise and 3 minutes after the end of the stress test

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

January 18, 2021

Primary Completion (Actual)

December 21, 2021

Study Completion (Actual)

May 17, 2022

Study Registration Dates

First Submitted

November 12, 2020

First Submitted That Met QC Criteria

November 19, 2020

First Posted (Actual)

November 25, 2020

Study Record Updates

Last Update Posted (Actual)

March 13, 2023

Last Update Submitted That Met QC Criteria

March 9, 2023

Last Verified

March 1, 2023

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 2020PI156

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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