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    HP:0002092: Pulmonary arterial hypertension

    Developed by Shray Alag, The Harker School
    Sections: Correlations, Clinical Trials, and HPO

    Correlations computed by analyzing all clinical trials.

    Navigate: Clinical Trials and HPO


    Correlated Drug Terms (6)


    Name (Synonyms) Correlation
    drug2731 NO gas Wiki 0.50
    drug474 BAY1237592 Wiki 0.50
    drug3042 PH-combination therapy Wiki 0.50
    Name (Synonyms) Correlation
    drug4930 echocardiogram 2D Wiki 0.50
    drug3043 PH-monotherapy Wiki 0.50
    drug1446 Echocardiography Wiki 0.29

    Correlated MeSH Terms (5)


    Name (Synonyms) Correlation
    D006976 Hypertension, Pulmonary NIH 1.00
    D018497 Ventricular Dysfunction, Right NIH 0.50
    D006973 Hypertension NIH 0.30
    Name (Synonyms) Correlation
    D018754 Ventricular Dysfunction NIH 0.25
    D018487 Ventricular Dysfunction, Left NIH 0.25

    Correlated HPO Terms (1)


    Name (Synonyms) Correlation
    HP:0000822 Hypertension HPO 0.30

    Clinical Trials

    Navigate: Correlations   HPO

    There are 4 clinical trials


    1 A Non-randomized Two Part Multi-Center, Open-label, Single Dose Trial With an Escalation Part in Untreated Pulmonary Arterial Hypertension (PAH) and Chronic Thromboembolic Pulmonary Hypertension (CTEPH) Patients (Part A), Followed by a Parallel Group Part in Untreated and Pre-treated Patients With PAH and CTEPH (Part B) to Investigate the Safety, Tolerability and Pharmacodynamics of Inhaled BAY1237592

    In this trial the effects of the inhaled drug BAY1237592 will be studied in patients with high blood pressure affecting the blood vessels in the lungs due to Pulmonary Arterial Hypertension (PAH) and due to Chronic Thromboembolic Pulmonary Hypertension (CTEPH). Pulmonary hypertension is characterized by the elevation of pressure in the pulmonary arteries (PAP) and of the pulmonary vascular resistance (PVR) leading to increased workload of the right chamber of the heart to eject blood against this elevated resistance. The goal of this study is to measure the safety and tolerability of the drug as well as the reduction of the PVR at different doses In Part A patients without specific treatment for PH (untreated patients) will be tested. In Part B patients stably pretreated with specific PH drugs will be studied in combination with the new inhaled drug

    NCT03754660
    Conditions
    1. Hypertension, Pulmonary
    Interventions
    1. Drug: BAY1237592
    2. Drug: PH-monotherapy
    3. Drug: PH-combination therapy
    4. Procedure: NO gas
    MeSH:Hypertension, Pulmonary Hypertension
    HPO:Hypertension Pulmonary arterial hypertension

    Primary Outcomes

    Description: PVR = 80* (PAP - PCWP) / CO (dyn·sec·cm-5) PAP = pulmonary arterial pressure PCWP = pulmonary capillary wedge pressure CO = cardiac output

    Measure: Peak percent reduction in PVR (Pulmonary vascular resistance) from "baseline 2" for untreated patients

    Time: Up to 5 hours post inhalation of BAY1237592 compared to "baseline 2"

    Description: PVR = 80* (PAP - PCWP) / CO (dyn·sec·cm-5)

    Measure: Peak percent reduction in PVR from "baseline" for pre-treated patients

    Time: Up to 5 hours post inhalation of BAY1237592 compared to "baseline"

    Secondary Outcomes

    Measure: Incidence of treatment-emergent adverse events (TEAEs)

    Time: Up to 30 days after treatment
    2 The Prevalence of Pulmonary Hypertension, With or Without Right Ventricular Loading, in Patients With COVID-19 Who Are Being Treated With a Respirator in the Intensive Care Unit.

    The virus infection Covid-19 fills our hospitals and intensive care departments in a very unique way and there is a lack of essential insight into the pathophysiology of the disease. As a result, very specific treatment options are missing. The US Medicines Agency (FDA) has in the last days given a general license for treatment with inhaled nitric oxide (iNO). Inhaled NO in Sweden (and Europe) is approved for the indication of pulmonary hypertension in adults. However, no one has yet described the occurrence of pulmonary hypertension, with or without right ventricular loading, in the Covid-19 patients who become so seriously ill that they need to be treated at an IVA ward. Knowledge of this is, of course, a prerequisite for determining the need for pulmonary artery catheterization (PA catheter, Swan-Ganz catheter) and also to better understand whether iNO treatment or other forms of lung selective vasodilation therapy may be of benefit to this patient group.

    NCT04459364
    Conditions
    1. Hypertension, Pulmonary
    2. Right Ventricular Overload
    3. COVID
    MeSH:Hypertension, Pulmonary Hypertension
    HPO:Hypertension Pulmonary arterial hypertension

    Primary Outcomes

    Description: To determine the prevalence of pulmonary hypertension and right ventricular load in patients with COVID-19 treated in intensive care unit evaluated by routine echocardiography.

    Measure: Prevalence

    Time: Day 1
    3 Stress Echocardiography in Patients Recovery From Mild COVID-19 Illness

    With the appearance of the new SARS-COV2 virus, additional challenges are being imposed on the medical community after the resolution of acute COVID-19 illness, resulting in specific pathophysiologic mechanisms that while acutely damage the lung parenchyma might chronically impact the cardiopulmonary system. This study aims to investigate changes after mild COVID-19 illness in echocardiographic indices at rest and stress.

    NCT04498299
    Conditions
    1. Echocardiography, Stress
    2. COVID-19
    3. Hypertension, Pulmonary
    Interventions
    1. Diagnostic Test: echocardiogram 2D
    MeSH:Hypertension, Pulmonary Hypertension
    HPO:Hypertension Pulmonary arterial hypertension

    Primary Outcomes

    Description: Left atrium volume index

    Measure: • LA volume index

    Time: 3 minutes

    Description: Left ventricle telediastolic diameter

    Measure: • LV telediastolic diameter

    Time: 3 minutes

    Description: Left ventricle telesystolic diameter

    Measure: • LV telesystolic diameter

    Time: 3 minutes

    Description: Left ventricle posterior wall

    Measure: • LV posterior wall

    Time: 3 minutes

    Description: Right atrium area

    Measure: • RA area

    Time: 3 minutes

    Description: Right ventricle basal dimensión

    Measure: • RV basal dimensión

    Time: 3 minutes

    Description: Right ventricle cavity dimensión

    Measure: • RV mid cavity dimension;

    Time: 3 minutes

    Description: Right ventricle longitudinal dimension

    Measure: • RV longitudinal dimension

    Time: 3 minutes

    Description: Distal, right ventricle outflow tract dimension at the distal or pulmonic valve level

    Measure: • Distal, RV outflow tract dimension at the distal or pulmonic valve level

    Time: 3 minutes

    Description: Proximal right ventricle outflow tract dimension at the proximal subvalvular level

    Measure: • Proximal RV outflow tract dimension at the proximal subvalvular level

    Time: 3 minutes

    Description: • Tricuspid annular plane systolic excursion

    Measure: • TAPSE

    Time: 3 minutes

    Description: Right ventricle free Wall strain

    Measure: • RV free Wall strain

    Time: 3 minutes

    Description: Inferior cava vein PW Doppler

    Measure: • Inferior cava vein PW Doppler

    Time: 3 minutes

    Description: E wave mitral

    Measure: • E wave mitral

    Time: 3 minutes

    Description: A wave mitral

    Measure: • A wave mitral

    Time: 3 minutes

    Description: E wave /A wave mitral

    Measure: • E wave /A wave mitral

    Time: 3 minutes

    Description: E-wave at mitral annulus

    Measure: • E-wave at mitral annulus

    Time: 3 minutes

    Description: E-wave at mitral annulus / A-wave at the mitral annulus

    Measure: • E-wave at mitral annulus / A-wave at the mitral annulus

    Time: 3 minutes

    Description: E wave/ E-wave at the mitral annulus

    Measure: • E wave/ E-wave at the mitral annulus

    Time: 3 minutes

    Description: E tricuspid (E)

    Measure: • E tricuspid (E)

    Time: 3 minutes

    Description: A triuspid (A)

    Measure: • A tricuspid (A)

    Time: 3 minutes

    Description: E/A

    Measure: • E/A

    Time: 3 minutes

    Description: Systolic pulmonary artery pressure

    Measure: • Systolic pulmonary artery pressure

    Time: 3 minutes

    Description: E-wave at the tricuspid annulus

    Measure: • E-wave at the tricuspid annulus

    Time: 3 minutes

    Description: Mean pulmonary artery pressure

    Measure: • Mean pulmonary artery pressure

    Time: 3 minutes

    Description: Stroke volume

    Measure: • Stroke volume

    Time: 3 minutes

    Description: Cardiac output

    Measure: • Cardiac output

    Time: 3 minutes
    4 Cardiac Dysfunction in Critically Ill Patients Infected With COVID-19

    Cardiac dysfunction has been reported to be common in patients infected with COVID-19. The aim of this study is to evaluate the clinical importance of cardiac dysfunction in critically ill patients infected with COVID-19.

    NCT04524234
    Conditions
    1. Covid19
    2. Left Ventricular Dysfunction
    3. Right Ventricular Dysfunction
    4. Pulmonary Hypertension
    Interventions
    1. Diagnostic Test: Echocardiography
    MeSH:Hypertension, Pulmonary Ventricular Dysfunction Ventricular Dysfunction, Left Ventricular Dysfunction, Right
    HPO:Pulmonary arterial hypertension

    Primary Outcomes

    Description: All cause death in patients with vs without cardiac dysfunction

    Measure: Mortality

    Time: 30 days

    Secondary Outcomes

    Description: Prevalence of left ventricular dysfunction

    Measure: Left ventricular dysfunction

    Time: Within 72 hours from admission

    Description: Prevalence of right ventricular dysfunction

    Measure: Right ventricular dysfunction

    Time: Within 72 hours from admission

    Description: Clinical variables associated with risk of having cardiac dysfunction

    Measure: Risk-factors

    Time: Within 72 hours from admission

    Description: Levels of cardiac biomarkers in patients with vs without cardiac dysfunction

    Measure: Cardiac biomarkers

    Time: Within 72 hours from admission

    Description: Prevalence of left ventricular dysfunction

    Measure: Left ventricular dysfunction

    Time: During ICU-stay

    Description: Prevalence of right ventricular dysfunction

    Measure: Right ventricular dysfunction

    Time: During ICU-stay

    Description: Clinical variables associated with risk of having cardiac dysfunction

    Measure: Risk-factors

    Time: During ICU-stay

    Description: Levels of cardiac biomarkers in patients with vs without cardiac dysfunction

    Measure: Cardiac biomarkers

    Time: During ICU-stay

    HPO Nodes


    Reports

    Data processed on December 13, 2020.

    An HTML report was created for each of the unique drugs, MeSH, and HPO terms associated with COVID-19 clinical trials. Each report contains a list of either the drug, the MeSH terms, or the HPO terms. All of the terms in a category are displayed on the left-hand side of the report to enable easy navigation, and the reports contain a list of correlated drugs, MeSH, and HPO terms. Further, all reports contain the details of the clinical trials in which the term is referenced. Every clinical trial report shows the mapped HPO and MeSH terms, which are also hyperlinked. Related HPO terms, with their associated genes, protein mutations, and SNPs are also referenced in the report.

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