Change in MAPSE During Treatment of Sepsis

Recruiting now

Conditions studied: Sepsis

In brief

Patients with bloodstream infections (sepsis) have been found in prior studies to have infection-related heart dysfunction, even if they did not have preexisting heart problems. Factors related to the infection may cause the heart to not pump as well as it should, causing critical illness in the form of low blood pressure (shock) and heart failure. Ultrasound is frequently used in the emergency department to evaluate why a patient might have low blood pressure. Part of that evaluation may include obtaining ultrasound images and making measurements about how well or poorly the heart is pumping. The investigators will evaluate a certain measurement that relates to cardiac function, determine how it changes in patients before and after they are treated for septic shock. This will involve placing an ultrasound probe on the patient's chest, measuring the upward and downward movement of the mitral valve, the mitral annulus systolic plane excursion (MAPSE), and comparing the measurements before and after treatment is started. The investigators are attempting to determine if this measurement improves before and after treatment.

Key facts

Study ID

NCT05634733

Run by

University of Maryland, Baltimore

People needed

50

Starts

2023-04-01

Expected to finish

2030-12-01

Last updated by the study team

2025-06-19

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Diagnosis of Sepsis or Septic Shock

You may not qualify if…

• Age equal to or less than 17
• patient in the emergency department
• Unable to perform POCUS exam due to medical necessity
• Patients without sepsis
• unable to obtain consent or have a legal representative consent

Where it is running

• University of Maryland Medical Center — Baltimore, Maryland, United States (enrolling)

Full record on ClinicalTrials.gov

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