Actively Recruiting

Age: 18Years - 75Years
All Genders
NCT07563608

Prevalence, Pathogenesis, and Prognosis of Pulmonary Hypertension in Dialysis Patients

Led by Fondazione IRCCS Policlinico San Matteo di Pavia · Updated on 2026-05-04

70

Participants Needed

1

Research Sites

407 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This prospective multicenter longitudinal study aims to investigate the prevalence, pathogenesis, and prognosis of pulmonary hypertension in patients with end-stage renal disease undergoing chronic hemodialysis. The research seeks to identify specific clinical factors and biomarkers like angiopoietin-2 that contribute to the development of this condition, while evaluating the prognostic value of right ventricular function measured via TAPSE. Participants undergo a standardized screening echocardiogram the day after their intermediate dialysis session to determine the probability of pulmonary hypertension. Those identified as high-risk receive further diagnostic confirmation through right heart catheterization, respiratory function tests, and lung scans to clarify the underlying etiology. The protocol also evaluates the hemodynamic impact of high-flow arteriovenous fistulas and volume overload on pulmonary pressures. Clinical follow-up is conducted at baseline and subsequently at 6, 12, and 24 months to monitor patient outcomes and standardize therapeutic management according to established European guidelines.

CONDITIONS

Official Title

Prevalence, Pathogenesis, and Prognosis of Pulmonary Hypertension in Dialysis Patients

Who Can Participate

Age: 18Years - 75Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients aged between 18 and 75 years
  • Patients on stable extracorporeal hemodialysis for at least 6 months
  • Dialysis frequency of two or three times per week
  • Ability to provide written informed consent
Not Eligible

You will not qualify if you...

  • WHO functional class IV
  • Presence of valvular or congenital heart disease
  • Acute infections within the month preceding the cardiological evaluation

AI-Screening

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Trial Site Locations

Total: 1 location

1

Fondazione IRCCS Policlinico San Matteo di Pavia

Pavia, Lombardy, Italy, 27100

Actively Recruiting

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How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

0

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