pulmonary vascular dysfunctionpulmonary vascular function
pulmonary vascular dysfunction: Right ventricular function determined by echocardiography at rest and during exercise (non-invasive estimation of ventilation-perfusion mismatch), systemic endothelial function, left heart function, and plasma levels of vasoactive biomarkers compared with clinical parameters of dyspnea and exercise capacity. Further examinations will be performed in patients with still unclear cause of persistent shortness of breath after 3 months of follow-up (subgroup RHC)
pulmonary vascular function: Right ventricular function determined by echocardiography at rest and during exercise (non-invasive estimation of ventilation-perfusion mismatch), systemic endothelial function, and plasma levels of vasoactive biomarkers compared with clinical parameters of dyspnea and exercise capacity.
Study summary
To identify pulmonary vascular disease in post/long-COVID-19 patients as a cause of dyspnea/exercise limitation and to differentiate it from other causes of dyspnea
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:
* Age ≥ 18 years, patients with a suspected diagnosis of post/long-COVID-19 syndrome who present to our pneumology or infectious disease outpatient clinic or corresponding ward from the start of the study and whose SARS-CoV-2 infection was diagnosed at least 3 and not longer than 18 months prior to presentation
* Patients at least 3 and not longer than 18 months after a SARS-CoV-2 infection without post/long-COVID-19 syndrome who present to our post-infection outpatient clinic for follow-up
Exclusion Criteria:
* Patients who refuse to participate in the study
* Severe underlying chronic pulmonary, cardiac, or systemic disease (e.g., Chronic obstructive pulmonary disease (COPD), severe heart failure, neuromuscular disease) that was diagnosed prior to acute COVID-19 disease and whose progression appears likely as the cause of dyspnea
* Other non pneumologic causes of dyspnea (e.g., hemoglobin \< 100 g/L)
* Unstable or acute disease (e.g., acute infection, acute renal failure, acute coronary syndrome)
* Inability to perform spiroergometry, including transient orthopedic problems, contraindications to central venous and arterial catheter placement (e.g., severe bleeding tendency).
Primary outcome measure(s)
Measurement of gas exchange under different inhaled oxygen concentrations — At the time of presentation (on day 1) Non-invasive estimation of ventilation/perfusion (V/Q) mismatch
Spiroergometric capacity- maximal oxygen uptake (VO2max; ml/min/kg) — At the time of presentation (on day 1) Determination of exercise capacity by cardiopulmonary exercise testing (CPET)
Echocardiographic right heart parameters - pulmonary arterial systolic pressure (PASP; mmHg) — At the time of presentation (on day 1) Echocardiographic determination of right heart parameters under rest and during exercise
Echocardiographic right heart parameters - Tricuspid annular plane systolic excursion (TAPSE; mm) — At the time of presentation (on day 1) Echocardiographic determination of right heart parameters under rest and during exercise
Echocardiographic right heart parameters - right ventricular (RV) end-ventricular volume (EDV; ml) — At the time of presentation (on day 1) Echocardiographic determination of right heart parameters under rest and during exercise
Echocardiographic right heart - right volume (RV) end-systolic volume (ESV; ml) — At the time of presentation (on day 1) Echocardiographic determination of right heart parameters under rest and during exercise
Echocardiographic right heart - right ventricular longitudinal global strain (%) — At the time of presentation (on day 1) Echocardiographic determination of right heart parameters under rest and during exercise
Dyspnoea Index — At the time of presentation (on day 1) Determination of dyspnea and functional capacity a questionaire measure of shortness of breath for determining exertion levels
Invasive hemodynamics - pulmonary vascular resistance (PVR; WU) — At the time of presentation (on day 1) Invasive measurement of pulmonary hemodynamics by right heart catheterization (RHC subgroup)
Invasive hemodynamics - cardiac Index (CI; l/min/m2) — At the time of presentation (on day 1) Invasive measurement of pulmonary hemodynamics by right heart catheterization (RHC subgroup)
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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