Physical Training in Transposition of the Great Arteries (TrainingTGA)
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Purpose
In transposition patients after atrial switch operation, the morphological right ventricle serves as the systemic ventricle. These patients often develop signs of heart failure. It is not known, whether physical training can safely be recommended in these patients- like heart failure guidelines recommend training in patients with normal anatomy. Furthermore it is not known, whether these TGA-patients benefit from training with respect to cardiopulmonary exercise capacity.
| Condition | Intervention |
|---|---|
|
Transposition of Great Vessels |
Behavioral: Training |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety Study Intervention Model: Parallel Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Diagnostic |
| Official Title: | Influence of Physical Training on Cardiopulmonary Exercise Capacity and Right Ventricular Function in Patients With D-TGA and Atrial Switch Operation. |
- Cardiac MRI Right Ventricular Ejection Fraction [ Time Frame: 6 and 12 months ] [ Designated as safety issue: Yes ]
- Cardiopulmonary exercise capacity [ Time Frame: 6 and 12 months ] [ Designated as safety issue: Yes ]
- laboratory markers of heart failure [ Time Frame: 6 and 12 months ] [ Designated as safety issue: Yes ]
- Diastolic RV and LV function [ Time Frame: 6 and 12 months ] [ Designated as safety issue: Yes ]
- Right ventricular volumes [ Time Frame: 6 and 12 months ] [ Designated as safety issue: Yes ]
- Right ventricular mass [ Time Frame: 6 and 12 months ] [ Designated as safety issue: No ]
- NYHA-class [ Time Frame: 6 and 12 months ] [ Designated as safety issue: No ]
- quality of life questionnaire [ Time Frame: 6 and 12 months ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 48 |
| Study Start Date: | February 2009 |
| Study Completion Date: | January 2011 |
| Primary Completion Date: | September 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: Training
Ergometer Training
|
Behavioral: Training
Controlled home ergometer training
Other Names:
|
|
No Intervention: 2
Counseling
|
Detailed Description:
This is a randomized, controlled, prospective trial on the safety of physical training in TGA patients after atrial switch operation.
In transposition patients after atrial switch operation, the morphological right ventricle serves as the systemic ventricle. These patients often develop signs of heart failure. It is not known, whether physical training can safely be recommended in these patients- like heart failure guidelines recommend training in patients with normal anatomy. Furthermore it is not known, whether these TGA-patients benefit from training with respect to cardiopulmonary exercise capacity.
Primary endpoints are Systemic Ventricle Ejection Fraction and Volumes, Exercise Capacity.
Secondary endpoints are Echo Diastolic Function, as well as laboratory markers of heart failure.
Eligibility| Ages Eligible for Study: | 18 Years to 40 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- age >=18 years
Exclusion Criteria:
- tricuspid regurgitation grade 2 or more
- sign. LVOTO or RVOTO
- pacemaker or defibrillator
- recent hospitalisation for heart failure (90 days)
Contacts and Locations| Germany | |
| Hannover Medical School | |
| Hannover, Germany, 30623 | |
| Principal Investigator: | Philip Roentgen, MD | Hannover Medical School |
| Study Chair: | Gerd P Meyer, MD | Hannover Medical School |
| Study Director: | Helmut Drexler, MD | Hannover Medical School |
More Information
No publications provided
| Responsible Party: | Helmut Drexler, MD, Professor of Medicine, Hannover Medical School |
| ClinicalTrials.gov Identifier: | NCT00837603 History of Changes |
| Other Study ID Numbers: | TGA2009 |
| Study First Received: | February 4, 2009 |
| Last Updated: | March 8, 2012 |
| Health Authority: | Germany: Federal Ministry of Education and Research |
Keywords provided by Hannover Medical School:
|
tga atrial switch training |
Additional relevant MeSH terms:
|
Situs Inversus Transposition of Great Vessels Congenital Abnormalities Heart Defects, Congenital |
Cardiovascular Abnormalities Cardiovascular Diseases Heart Diseases |
ClinicalTrials.gov processed this record on May 23, 2013