Personalisation of Mean Arterial Pressure in Adult Patients With Cardiogenic Shock
NCT07345559 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 406
Last updated 2026-04-02
Summary
Cardiogenic shock is a life-threatening condition characterized by inadequate cardiac output, leading to organ hypoperfusion and high mortality. Maintaining mean arterial pressure (MAP) is crucial, but standard targets may be insufficient due to venous congestion. Central venous pressure (CVP) can help assess effective perfusion pressure. This study investigates whether a personalized MAP target adjusted by CVP improves organ function and survival compared to standard MAP management.
Conditions
- Cardiogenic Shock
Interventions
- OTHER
-
Personalized MAP
Patients receive blood pressure management targeting a personalized MAP ranging from 65 mmHg + CVP to 75 mmHg + CVP, without exceeding 90 mmHg.CVP is measured via a central venous catheter positioned in the superior vena cava. After 48 hours, if tissue perfusion is restored, the MAP target may be reduced to 65-70 mmHg.
- OTHER
-
Standard MAP
Patients receive blood pressure management aiming for a standard MAP target of 65-70 mmHg, according to international guidelines for cardiogenic shock management.
Sponsors & Collaborators
-
CMC Ambroise Paré
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- OTHER
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-03-26
- Primary Completion
- 2029-07-25
- Completion
- 2029-07-25
Countries
- France
Study Locations
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