Could a tiny heart hole worsen altitude sickness?
NCT ID NCT07742540
First seen Aug 03, 2026 · Last updated Aug 04, 2026 · Updated 1 time
Summary
This study looks at how a small opening in the heart, called a patent foramen ovale (PFO), affects blood flow and oxygen levels during exercise and simulated high altitude. About a third of people have this opening, which may allow oxygen-poor blood to mix with oxygen-rich blood, potentially increasing the risk of high-altitude pulmonary edema (HAPE), a dangerous fluid buildup in the lungs. Researchers will measure pressures inside the heart and blood flow through the PFO in adults with and without a history of HAPE. The goal is to understand whether this heart opening contributes to altitude sickness, which could help identify at-risk individuals.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- No drug or device is being tested. The study measures heart pressures and blood flow during rest and exercise in simulated high altitude.
- What this could lead to
- If the study clarifies how a PFO affects heart function at high altitude, it could help identify who is at risk for severe altitude sickness and guide prevention strategies.
- What could go wrong
- This is a small observational study, so findings may not apply to everyone. It does not test a treatment, so it won't directly change care.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 50 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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Sep 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Individuals with documented history of high-altitude pulmonary edema and with or without a patent foramen ovale
- Ages
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18 to 60 years
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Males and females age \> 18 but \< 60 years of age at the time of signing the informed consent. * Medically documented episode of noncardiogenic pulmonary edema occurring after exposure to hypoxia at high altitude. * No other associated congenital cardiac or vascular abnormalities. * Physically active, and able to perform endurance exercise. Exclusion Criteria: * Do not otherwise meet the inclusion criteria. * Cardiac- or pulmonary-related medications. * Known history of anemia, iron deficiency, iron supplementation (oral or intravenous) in the preceding 60 days. * Systemic anticoagulation or aspirin use that cannot be temporarily held for the study. * Non-cardiopulmonary disorders that adversely influence exercise ability (e.g. arthritis or peripheral vascular disease). * Engaging in vigorous physical activity \[≥1 hour at ≥6 mets\] at ≥8,000 ft for \>2 days per week over the preceding 4 weeks, and residing at ≥8,000 ft for 3 or more consecutive nights in the preceding 30 days. * History of any recent illnesses (e.g. viral respiratory infections) within 4 weeks of testing. * Women who are pregnant (urine pregnancy test given to all women of childbearing age at the time of testing). * Other conditions that would limit the patient's ability to complete the study procedures.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
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