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OpenTrials
Completed

NCT Number: NCT06039397

The Effect of Semi Fowler 30' Right Lateral on Cardiac Output in Acute Heart Failure

Heart failure is a special clinical syndrome such as difficulty breathing, fatigue, and swollen legs characterized by increased JVP, crackle lung sounds, and peripheral edema caused by heart disorders both structural and/or functional, resulting in decreased cardiac output and increased intracardiac pressure at rest and activity. Body positioning has been shown to affect stroke volume and parasympathetic modulating activity. The right lateral 30" semifowler position is a very safe position in heart failure patients admitted to the ICU. Although body positioning can affect stroke volume, and parasympathetic modulation, it is not yet clear what effect it has on cardiac output

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Key information

Conditions

Cardiac Output, High Arrhythmias, Cardiac Arrythmia Cardiovascular Diseases Dyspnea Dyspnea; Cardiac Heart Diseases Heart Failure Pathologic Processes Pathological Conditions, Signs and Symptoms Pulmonary Edema With Heart Failure Respiration Disorders Respiratory Tract Diseases Signs and Symptoms Signs and Symptoms, Respiratory

Age range

18 year–85 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Ryan Budiyanto

Jakarta, West Jakarta, 11420, Indonesia

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • The patient was diagnosed with acute decompensated heart failure,
  • fully conscious,
  • not intubated,
  • >18 years old,
  • had no mobility problems,
  • palpable radial artery pulsation,
  • was not under the influence of anti-hypotensive drugs,
  • willing to be a respondent,
  • LVEF <50%.

Exclusion criteria

  • Pulmonary edema,
  • severe valve disease comorbidities,
  • receiving high doses of anti-hypotensive treatment,
  • heart failure readmission in the last 3 months,
  • finger edema,
  • use of mechanical circulatory support,
  • irregular rhythms,
  • artificial pacemaker attached,
  • obesity
  • peripheral perfusion disorders
  • cardiogenic shock

Treatment and study plan

Semifowler 30' Right Lateral Body Position

Behavioral

Semifowler 30' Right Lateral Body Position Is a regulation of body position by placing the patient's body in a semi-fowler and lateral resting position of 30 degrees

Primary outcomes

  1. Cardiac Output

    Time frame: 15 Minutes

    The amount of blood volume pumped by the heart for 1 minute in liters

Sponsors and collaborators

Lead sponsor

Indonesia University

Other

Collaborators

  • National Cardiovascular Center Harapan Kita Hospital Indonesia

Registry information

Acronym: SETTLECO

Important dates

Study start
2023
Primary completion
2023
Study completion
2023
First posted
Sep 15, 2023
Registry last updated
Jan 12, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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