Effort-Lung Ultra Sound (E-LUS)
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
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Secondary objectives:
- To assess the diagnostic performance of exercise lung ultrasound for the diagnosis of HFpEF.
- To identify the value of the B-lines score on exercise maximizing the sensitivity and specificity for the diagnosis of HFpEF.
- To evaluate the relationship of the delta of B-lines scores between rest and exercise with the diagnosis of HFpEF.
- To assess the diagnostic performance of the delta of B-lines between rest and exercise for the diagnosis of HFpEF.
- To identify the score of the delta of B-lines value between rest and exercise maximizing sensitivity and specificity for the diagnosis of HFpEF.
- To evaluate the relationship between the resting value of the B-lines scores with the diagnosis of HFpEF.
- To assess the diagnostic performance of the resting lung ultrasound for the diagnosis of HFpEF.
- To identify the value of the B-lines score at rest maximizing the sensitivity and specificity for the diagnosis of HFpEF.
- 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.
- 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
Study Type
Enrollment (Actual)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: Mathieu ECHIVARD, MD
- Phone Number: +33 33 3 83 15 73 56
- Email: m.echivard@chru-nancy.fr
Study Contact Backup
- Name: Nicolas GIRERD, MD, Ph D
- Phone Number: +33 33 3 83 15 74 96
- Email: n.girerd@chu-nancy.fr
Study Locations
-
-
-
Vandœuvre-lès-Nancy, France, 54500
- CHRU de NANCY
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
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
How is the study designed?
Design Details
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / 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
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
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
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 2020PI156
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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.
Clinical Trials on Heart Failure With Preserved Ejection Fraction
-
NCT07355088Not yet recruitingChronic Heart Failure | Heart Failure With Reduced Ejection Fraction (HFrEF) | Heart Failure With Preserved Ejection Fraction (HFPEF) | Heart Failure With Mildly Reduced Ejection Fraction (HFmrEF)
-
NCT07401771RecruitingHeart Failure With Preserved Ejection Fraction
-
NCT07202000Not yet recruitingHeart Failure With Preserved Ejection Fraction
-
NCT07331220Not yet recruitingHeart Failure With Preserved Ejection Fraction
-
NCT07269717RecruitingHeart Failure With Preserved Ejection Fraction
-
NCT07295522Not yet recruitingHeart Failure | Acute Heart Failure | Heart Failure With Reduced Ejection Fraction (HFrEF) | Heart Failure With Preserved Ejection Fraction (HFPEF) | Heart Failure With Mildly Reduced Ejection Fraction
-
NCT06837623Active, not recruitingHFpEF - Heart Failure with Preserved Ejection Fraction
-
NCT07332520CompletedHeart Failure | Heart Failure, Diastolic | Heart Failure, Systolic | Heart Failure With Reduced Ejection Fraction (HFrEF) | Heart Failure With Preserved Ejection Fraction (HFPEF) | Heart Failure With Mid-Range Ejection Fraction (HFmrEF)
-
NCT07394010CompletedHeart Failure With Preserved Ejection Fraction (HFPEF)
-
NCT07326605Enrolling by invitationHeart Failure With Preserved Ejection Fraction (HFPEF)
Clinical Trials on Lung ultrasound
-
NCT06965634Not yet recruitingIntraoperative Fluid Management
-
NCT05317897CompletedExta Vascular Lung Water
-
NCT02638649CompletedPneumonia | Pulmonary Edema | Dyspnea
-
NCT04581226CompletedPerioperative/Postoperative Complications
-
NCT02107001CompletedLung Cancer | Community Acquired Pneumonia | Pulmonary Embolism | Pleuritis
-
NCT07057804CompletedIntensive Care Unit | Lung | Ultrasound | Extubation | Weaning | Mechanically Ventilation | Diaphragm
-
NCT04373811Active, not recruitingCOVID-19 | Weaning Failure | ICU Acquired Weakness
-
NCT06415916Recruiting
-
NCT06971042RecruitingAcute Respiratory Distress Syndrome | Mechanical Ventilation Complication | Computed Tomography
-
NCT05035459Active, not recruitingHeart Failure | Lung Ultrasound