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NCT07603037Not yet recruiting

EIT Evaluation of Different Antihypertensive Agents on the Ventilation-Perfusion Ratio in Patients With Acute Respiratory Failure

Effect of Nicardipine and Nitroglycerin on the Ventilation-Perfusion Ratio in Patients With Acute Respiratory Failure Using Electrical Impedance Tomography: A Prospective Pilot Study

Source: ClinicalTrials.gov · Last updated 2 Jul 2026

Brief summary (registry, in English)

This prospective, single-center interventional study aims to evaluate the effect of two commonly used intravenous antihypertensive agents - nicardipine and nitroglycerin - on lung ventilation-perfusion (V/Q) distribution in patients with acute respiratory failure complicated by hypertension. Electrical Impedance Tomography (EIT) will be used for noninvasive monitoring of pulmonary ventilation and perfusion distribution before and after drug administration. The study will compare the changes in V/Q ratio, oxygenation index, and hemodynamic variables after administration of the two drugs. The findings are expected to provide evidence for the optimal antihypertensive strategy in critically ill patients with respiratory failure and to clarify whether specific vasodilators exacerbate or improve ventilation-perfusion mismatch.

Status (registry)
Not yet recruiting
Study type
Interventional
Enrollment
12 (estimated)
First submitted
18 May 2026
Start date
15 Jul 2026
Primary completion date
30 Jul 2027
Lead sponsor
First Affiliated Hospital of Wannan Medical College
NCT number
NCT07603037

What you commit to

  • Study type: Interventional
  • Planned participants: 12
  • From 15 Jul 2026 to the primary completion date, 30 Jul 2027
  • 1 site in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Hemodynamic instability or severe hypotension occurring during drug titration. Pregnancy or lactation. Known hypersensitivity or contraindication to nicardipine or nitroglycerin. Use of phosphodiesterase-5 inhibitors, such as sildenafil, tadalafil, or vardenafil, within the clinically relevant washout period.

Other illness

  • Implanted cardiac pacemaker, defibrillator, or any metallic thoracic device that may distort impedance measurements.
  • Severe anemia, markedly increased intracranial pressure, or other clinical conditions in which nitroglycerin administration is considered inappropriate by the treating physician.

Other

  • Body mass index (BMI) ≥ 50 kg/m² or presence of massive subcutaneous edema interfering with EIT signal acquisition.
  • Incomplete clinical documentation preventing accurate evaluation of primary endpoints.

Who the study is looking for

  • Requires intravenous antihypertensive infusion (such as nicardipine or nitroglycerin) to maintain controlled and stable blood pressure during ICU treatment.
  • Written informed consent obtained from the patient or the legally authorized representative.

Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
The First Affiliated Hospital of Wannan Medical College (Yijishan Hospital of Wannan Medical College)
Coordinator of this site? Confirm its status
WuhuChinaUnknown status

This page is information, not medical advice. Discuss any trial with your doctor.