At a glance
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Response to Sildenafil in Patients With Fontan Physiology, A Pressure-volume Loop Analysis
In Brief
A Phase 4 clinical trial evaluating Cardiac catheterization for Single Ventricle Heart Disease After Fontan Surgery. Completed, enrolled 20 participants across 1 site.
Detailed Summary
The study will investigate the cardiovascular effects of sildenafil on patients with Fontan circulation. Recent studies suggest that sildenafil may improve exercise in patients with Fontan circulation. However, why this occurs is not known. The study will used specialized catheters to measure pressure and volume. The measure of pressure and volume leads to more detailed analysis of heart function. Patients will receive either sugar pill or sildenafil prior to catheterization. It is believed that sildenafil will improve relaxation and contraction of the heart.
Study Details
Timeline
Interventions
All patients will receive a dobutamine infusion during catheterization. Patients were 1:1 randomized to a single dose of 1 mg/kg of sildenafil (max dose of 20 mg) or placebo 30-90 min prior to beginning of catheterization.