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Pathophysiology of Orthostatic Intolerance

This study is currently recruiting participants. (see Contacts and Locations)
Verified March 2017 by Satish R. Raj, Vanderbilt University Medical Center
Sponsor:
Collaborator:
National Institutes of Health (NIH)
Information provided by (Responsible Party):
Satish R. Raj, Vanderbilt University Medical Center
ClinicalTrials.gov Identifier:
NCT00608725
First received: January 22, 2008
Last updated: March 22, 2017
Last verified: March 2017

January 22, 2008
March 22, 2017
December 1996
December 2018   (Final data collection date for primary outcome measure)
Physiological abnormalities in orthostatic intolerance [ Time Frame: 1 day ]
Same as current
Complete list of historical versions of study NCT00608725 on ClinicalTrials.gov Archive Site
  • blood volume [ Time Frame: 1 day ]
  • intrinsic heart rate [ Time Frame: 1 hour ]
  • quantitative sweat testing [ Time Frame: 2 hours ]
  • residual sympathetic function after pharmacological autonomic blockade [ Time Frame: 3 hours ]
  • norepinephrine spillover [ Time Frame: 3 hours ]
Same as current
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Pathophysiology of Orthostatic Intolerance
Pathophysiology of Orthostatic Intolerance
The purpose of this study is to describe the mechanism of orthostatic intolerance, relying on cardiovascular physiological studies. The syndrome is of undetermined etiology, but the syndrome causes impairment of a number of young adults, females more than males, with symptoms of tachycardia, fatigue, lightheadedness, palpitations, blurred vision, chest discomfort, difficulty concentrating, and dizziness with the upright posture. It is believed that many different pathophysiological processes can give rise to this disorder.
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Interventional
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Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: No masking
Primary Purpose: Diagnostic
  • Tachycardia
  • Postural Orthostatic Tachycardia Syndrome
  • Radiation: DAXOR
    131-I-Human Serum Albumin Blood Volume Assessment Kit
    Other Name: Volumex
  • Procedure: QSweat
    Quantitative Sweat Testing
    Other Names:
    • QSART
    • Quantitative Axonal Sudomotor Reflex Testing
  • Drug: Intrinsic Heart Rate
    Atropine 0.04 mg/kg IV in divided doses Propranolol 0.2 mg/kg IV in divided doses
    Other Names:
    • Inderal
    • IHR
  • Patients
    Patients with orthostatic intolerance
    Interventions:
    • Radiation: DAXOR
    • Procedure: QSweat
    • Drug: Intrinsic Heart Rate
  • Healthy Control Subjects
    Healthy subjects to determine "normal" response
    Interventions:
    • Radiation: DAXOR
    • Procedure: QSweat
    • Drug: Intrinsic Heart Rate
Mustafa HI, Garland EM, Biaggioni I, Black BK, Dupont WD, Robertson D, Raj SR. Abnormalities of angiotensin regulation in postural tachycardia syndrome. Heart Rhythm. 2011 Mar;8(3):422-8. doi: 10.1016/j.hrthm.2010.11.009. Epub 2011 Jan 22.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruiting
100
December 2018
December 2018   (Final data collection date for primary outcome measure)

Inclusion Criteria:

  • Orthostatic intolerance

Exclusion Criteria:

  • Inability or unwillingness to give informed consent
Sexes Eligible for Study: All
18 Years to 80 Years   (Adult, Senior)
Yes
Contact: Bonnie K Black, BSN CNP 615-343-6499 adc.research@vanderbilt.edu
United States
 
 
NCT00608725
8398
NIH HL56693
No
Not Provided
Not Provided
Not Provided
Satish R. Raj, Vanderbilt University Medical Center
Satish R. Raj
National Institutes of Health (NIH)
Principal Investigator: David Robertson, MD Vanderbilt University
Vanderbilt University Medical Center
March 2017

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP