Correlation Between PLA Levels and Disease Severity in Patients With Sepsis Cardiac Insufficiency

Last updated: October 22, 2024
Sponsor: Dongzhimen Hospital, Beijing
Overall Status: Active - Recruiting

Phase

N/A

Condition

Chest Pain

Heart Failure

Soft Tissue Infections

Treatment

N/A

Clinical Study ID

NCT06655389
Nan Guo(Dongzhimen)
  • Ages 50-90
  • All Genders
  • Accepts Healthy Volunteers

Study Summary

Sepsis cardiac insufficiency is characterized by high morbidity and mortality. Studies have shown an association between elevated PLA levels in patients with sepsis and clinical outcomes of cardiac dysfunction. This study will explore the correlation between circulating PLA levels and organ dysfunction and disease severity in SIMD patients in the form of a cross-sectional study.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Sepsis cardiac insufficiency group
  1. From April 2024 to December 2026, in the first ICU area of Dongzhimen Hospital,Beijing University of Chinese Medicine, Hospitalized patients in Zone II;

  2. consistent with the diagnosis of sepsis cardiac insufficiency;

  3. Age ≥ 50 and ≤ 90 years old;

  4. SOFA score≥ 2 points;

  5. Within 24 hours of the diagnosis of cardiac insufficiency in sepsis;

  6. The patient or his/her family members sign the informed consent form. Healthysubjects

  7. Aged ≥ 50 and ≤ 90 years old, permanent residents of Beijing community;

  8. Good health (blood routine, liver and kidney function, blood lipids, bloodcoagulation, no obvious abnormalities, no diagnosis cardiac insufficiency,acute coronary syndrome, old myocardial infarction, or cardiomyopathy);

  9. There is no history of long-term use of drugs that affect platelet function andcoagulation function, and those who are willing to cooperate with the testCrowd;

  10. The subject himself signed the informed consent form.

Exclusion

Exclusion Criteria:

  1. Diagnosed with acute coronary syndrome, old myocardial infarction, and coronaryheart disease revascularization of patients; (2) Cardiac insufficiency due tocardiomyopathy, such as hypertrophic cardiomyopathy, dilated cardiomyopathy,myocardial amyloidosis, diabetic cardiomyopathy, hypothyroidic cardiomyopathy,etc.; (3) Due to heart knots Cardiac insufficiency caused by structuralabnormalities, arrhythmias, cor pulmonale, nephroheart syndrome, etc.; (4)Impact Survival of severe primary diseases, including: uncontrolled malignanttumors that have metastasized in multiple places and cannot be resected, andblood disease, novel coronavirus infection and HIV, etc.; (5) Liver and kidneydysfunction with a single SOFA score of ≥3 points in liver or kidneyhandicappers; (6) Those who have been continuously using immunosuppressants ororgan transplantation in the past 6 months; (7) 7 consecutive days prior toenrollment Those who have used corticosteroids, converted to methylprednisolonedose≥ 20mg/day; (8) Pregnant and lactating women; (9) Take or Injection ofdrugs that affect platelet function and coagulation function; (10) Those whohave participated in other clinical trials within 30 days.

Study Design

Total Participants: 30
Study Start date:
May 01, 2024
Estimated Completion Date:
December 31, 2026

Study Description

Sepsis cardiac insufficiency is an unsolved problem in the field of severe disease, which is characterized by high morbidity and high mortality. Several studies have found that infectious factors activate platelets and inflammatory cells, damage the vascular endothelium, and cause leukocytes to interact with platelets to form platelet-leukocyte aggregates, and elevated PLA levels in patients with sepsis are associated with the clinical outcome of cardiac dysfunction. The literature studies have shown that the serum PLA level in sepsis patients is significantly increased, and the PLA level is positively correlated with the severity of cardiac dysfunction in sepsis patients, and the formation of PLA is regulated by the binding of CD62P on the surface of activated platelets and PSGL-1 on the surface of leukocytes. This study will explore the correlation between circulating PLA levels and organ dysfunction and disease severity in patients with SIMD in the form of a cross-sectional study, in order to provide a new potential direction for the evaluation and treatment of SIMD.

Connect with a study center

  • DongzhimenH,Beijing

    Beijing, Beijing 100700
    China

    Active - Recruiting

Map preview placeholder

Not the study for you?

Let us help you find the best match. Sign up as a volunteer and receive email notifications when clinical trials are posted in the medical category of interest to you.