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

NCT06039397 — Not applicable, Completed, 20 participants, Universitas Indonesia

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RegistryNCT06039397, acronym SETTLECO
StatusCompleted
PhaseNot applicable
Study typeInterventional; non randomized, crossover, masking: double, treatment
Enrollment20 (Actual)
SponsorUniversitas Indonesia (Other); collaborators: National Cardiovascular Center Harapan Kita Hospital Indonesia
ConditionsCardiac Output, High, Heart Failure, Pulmonary Edema With Heart Failure, Dyspnea; Cardiac, Arrythmia
InterventionsSemifowler 30' Right Lateral Body Position (Behavioral)
Datesstart 2023-09-01, primary completion 2023-11-30, completion 2023-12-30, first posted 2023-09-15, last updated 2024-01-12
Locations1 site in Indonesia

Related Papers Related Patents Related Grants Related Experts
All trials for Cardiac Output, High All trials for Heart Failure All trials of Semifowler 30' Right Lateral Body Position

-Summary

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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+Arms and interventions

ArmTypeInterventionsDescription
Semi-fowler 30" Right LateralExperimentalBehavioral: Semifowler 30' Right Lateral Body Position
Conventional careActive comparatorBehavioral: Semifowler 30' Right Lateral Body Position
  • 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

+Outcome measures

Primary outcomes

  • Cardiac Output [15 Minutes]: The amount of blood volume pumped by the heart for 1 minute in liters

+Eligibility

Sex: All, ages: 18 Years to 85 Years

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

+Locations (1)

FacilityCityCountryStatus
Ryan BudiyantoJakarta, West JakartaIndonesia

+Publications

  • Gottlieb LA, Blanco LSY, Hocini M, Dekker LRC, Coronel R. Self-Reported Onset of Paroxysmal Atrial Fibrillation Is Related to Sleeping Body Position. Front Physiol. 2021 Jul 15;12:708650. doi: 10.3389/fphys.2021.708650. eCollection 2021. PMID 34335312
  • Carlisle MA, Fudim M, DeVore AD, Piccini JP. Heart Failure and Atrial Fibrillation, Like Fire and Fury. JACC Heart Fail. 2019 Jun;7(6):447-456. doi: 10.1016/j.jchf.2019.03.005. PMID 31146871
  • Chen GY, Kuo CD. The effect of the lateral decubitus position on vagal tone. Anaesthesia. 1997 Jul;52(7):653-7. doi: 10.1111/j.1365-2044.1997.114-az0106.x. PMID 9244024
  • Results publication: Miyamoto S, Fujita M, Sekiguchi H, Okano Y, Nagaya N, Ueda K, Tamaki S, Nohara R, Eiho S, Sasayama S. Effects of posture on cardiac autonomic nervous activity in patients with congestive heart failure. J Am Coll Cardiol. 2001 Jun 1;37(7):1788-93. doi: 10.1016/s0735-1097(01)01249-9. PMID 11401112
  • Results publication: Pan H, Xu Z, Yan H, Gao Y, Chen Z, Song J, Zhang Y. Lying position classification based on ECG waveform and random forest during sleep in healthy people. Biomed Eng Online. 2018 Aug 30;17(1):116. doi: 10.1186/s12938-018-0548-7. PMID 30165874