Sleep Disordered Breathing and Cardiopulmonary Disease in Peruvian Highlanders
Sleep Disordered BreathingSleep ApneaOverall objective: To understand the feasibility of performing a randomized trial using a simple, minimally-invasive postural therapy approach to improve sleep disordered breathing (SDB).
The Effect of External Diaphragmatic Pacemaker on the Patients With Chronic Cor Pulmonale
Chronic Cor PulmonaleThis study evaluates the effect of external diaphragmatic pacemaker on the patients with chronic cor pulmonale. Half of participants will receive external diaphragmatic pacemaker, while the other half will receive routine therapy.
Acute Kidney Injury After Cardiac Surgery
Heart DiseasesHeart Valve Diseases11 moreThe study aims to identify the Following: - incidence and mortality of cardiac Surgery associated -AKI based on the new consensus diagnostic systems of KDIGO (Kidney Disease Improving Global Outcomes). use of biomarkers for the early detection of clinical and subclinical cardiac Surgery associated-AKI. risk factors and prediction models of cardiac Surgery associated-AKI. optimal cardiac surgical procedures including conventional versus minimally invasive approaches, on-pump versus off-pump, and optimal management of cardiac surgical support including duration of CPB, perfusion pressure, hemodilution, and hypothermia during CPB. controversial pharmacologic therapies for the prevention and treatment of cardiac Surgery associated-AKI including statins, sodium bicarbonate, and N-acetylcysteine (NAC).
Focused Cardiac Ultrasound in Surgery
Cardiopulmonary DiseaseSurgery2 moreMortality and morbidity remain high after non-cardiac surgery. Known risk factors include age, high ASA grade and emergency surgery. Point-of-care focused cardiac ultrasound may elucidate pathology and potential hemodynamic compromise unknown to handling physicians. This study aims to investigate the effects of focused cardiac ultrasound in high-risk patients undergoing non-cardiac surgery with respect to clinical endpoints.
Chlorhexidine Mouthwash and Oral Nitrate in Adults With Pulmonary Hypertension
Pulmonary HypertensionHeart Failure With Normal Ejection Fraction1 moreThis is an open-label, single-center study to examine distinguishing features of the structure and function of the oral and gut microbiome in volunteers with PH in the breakdown of oral nitrate and effect on hemodynamics.
Indoor Air Filtration and Young Adults Health Study
Cardiopulmonary DiseasesThis study aims to explore the cardiopulmonary health effects of indoor air purification and other indoor environmental conditions among young healthy college students in Beijing, China.
A Study of Commercial DEFINITY® to Monitor the Effects of the Heart's Pulmonary Artery Pressure...
Pulmonary Heart DiseaseThe purpose of this clinical research is to learn if DEFINITY® 416 will cause any adverse effects during Right Heart Catheterization. This research was requested by the FDA.
Physiological Study of Low-frequency HFO/HFO-TGI and High-frequency HFO
Acute Respiratory Distress SyndromeAcute Cor PulmonaleRecent data from large trials of high-frequency high frequency oscillation (HFO) without a cuff leak vs, lung-protective conventional ventialtion (CMV) failed to show any HFO-related benefit with respect to outcome. A possible explanation is that HFO increases the probability of right ventricular dysfunction due to the combination of high mean airway pressures (mPaws) and hypercapnia. In contrast, available preliminary data on low-frequency HFO-tracheal gas insufflation (TGI) with cuff leak vs. CMV are suggestive of an HFO-TGI related benefit. Low-frequency HFO-TGI with a cuff leak is associated with relatively low mean tracheal pressures and adequate control of PaCO2. Thus, the investigators intend to test the hypothesis that low frequency HFO +/- TGI with a cuff leak is associated with better right ventricular function relative to high-frequency HFO without a cuff leak.
Indoor Air and Children Health Study
Cardiopulmonary DiseaseThe objective of this study is to investigate the cardiopulmonary health effects of indoor air purification and different indoor environmental factors among school students in Beijing.
Comparing Inpatient COVID-19 Outcomes in 2 Different PT Dosing Groups
COVID-19Cardiopulmonary Disease4 moreThe objective of this study is to compare the effects of twice-a-day 15-minute sessions of inpatient physical therapy (PT) to the standard daily 30 minute sessions. The patient outcomes that will be evaluated will be length of stay, change in functional status, and disposition (home/acute rehab vs. subacute/LTAC/death) in patients admitted with COVID-19.