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RecruitingNCT07268859ACSUpdated Dec 8, 2025

Effect of Fan Application in Preventing Ticagrelor-Associated Dyspnea

An interventional study of STANDART CARE and STANDART CARE & FAN THERAPY in Acute Coronary Syndromes, Ticagrelor and Dyspnea, sponsored by Acibadem University. Recruiting at 2 sites in Turkey (Türkiye). Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-12-08.

Sponsored by Acibadem University · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Primary completion was expected by Jan 2026, 8 months ago, but the record still lists the study as recruiting.
  • Registered 3 months after the study started (first participant enrolled Mar 2025, registered Jun 2025).
  • Started Mar 2025; still recruiting 1 year 6 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
110
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

This study will be conducted in the coronary intensive care unit of Dr. Siyami Ersek Chest, Heart and Vascular Surgery Training and Research Hospital. It aims to investigate the effect of hand fan therapy on ticagrelor-associated dyspnea in patients receiving ticagrelor.

Read the detailed description

Patients in the coronary intensive care unit receiving ticagrelor and meeting the inclusion criteria will be included. The study includes two groups: a control group receiving standard care and an experimental group receiving standard care plus hand fan therapy. A total of 110 participants (55 per group) will be recruited. Randomization will be performed using a computer-based randomization program. Due to the nature of the intervention and sample characteristics, participants and the researcher will not be blinded. Data will be analyzed by a statistician not involved in the study, and the findings will be reported.

02

Conditions studied

  • Acute Coronary Syndromes
  • Ticagrelor
  • Dyspnea

Keywords

  • Nursing
  • Ticagrelor
  • Hand fan therapy
  • Dyspnea
  • Non-pharmacological intervention
03

In context

Acute Coronary Syndrome

1,461 studies on the registry are indexed under Acute Coronary Syndrome; 267 are open to participants now.

This study's planned enrollment of 110 is below the median of 200 across 869 interventional studies indexed under Acute Coronary Syndrome.

Browse Acute Coronary Syndrome studies →

Lead sponsor

Acibadem University is the lead sponsor of 210 studies on the registry; 50 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Between the ages of 18 and 65,
  • No severe hearing and vision problems,
  • Can speak and understand Turkish,
  • Easy to communicate with,
  • First-time sufferer of acute coronary syndrome (ACS) for the first time,
  • Decided to start ticagrelor therapy,
  • Able to adapt to treatment,
  • Individuals who volunteered to participate in the research.

Exclusion criteria

Exclusion Criteria:

  • Having any problem that prevents you from communicating cognitively, emotionally and verbally,
  • Obstructive sleep abnormalities,
  • Have a disease that affects respiratory function (stage IV cancer, bronchial asthma, COVID-19, lung cancer, pulmonary edema, chronic obstructive pulmonary disease, pulmonary hypertension, pulmonary embolism, pneumonia or bronchitis, etc.),
  • With metabolic abnormalities,
  • Intubated after the procedure,
  • Previously treated with ticagrelor,
  • Individuals who did not volunteer to participate in the study. Losses to follow up
  • Individuals who wish to leave the study voluntarily.
  • Saturation value below 95%,
  • The one with the arrest,
  • Who will not be able to fulfill the requirements of the work,
  • Individuals with life-threatening conditions
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
110 participants (estimated)

Study arms

  • Active comparator
    Standard Care (Control Group)

    Routine ward care including semi-Fowler position and breathing exercises. Standard institutional care will be applied. Presence, number, and severity of dyspnea attacks will be recorded during the first 2 hours after ticagrelor administration.

    Other: STANDART CARE

  • Experimental
    Standard Care + Fan Therapy (Experimental Group)

    In addition to standard care, patients will undergo hand fanning for 5 minutes at 30, 60, and 120 minutes after ticagrelor administration. The fan will be directed toward the patient's face from a distance of \~15 cm. Dyspnea severity and number of episodes will be recorded during this period. Device: Hand Fan

    Other: STANDART CARE & FAN THERAPY

Interventions

  • OtherSTANDART CARE

    Routine ward care including semi-Fowler position and breathing exercises. Standard institutional care will be applied. Presence, number, and severity of dyspnea attacks will be recorded during the first 2 hours after ticagrelor administration.

  • OtherSTANDART CARE & FAN THERAPY

    In addition to standard care, patients will undergo hand fanning for 5 minutes at 30, 60, and 120 minutes after ticagrelor administration. The fan will be directed toward the patient's face from a distance of \~15 cm. Dyspnea severity and number of episodes will be recorded during this period.

    Also known as: Fan

06

What researchers measure

Primary outcomes

  1. Incidence of ticagrelor-associated dyspnea

    The proportion of participants who experience dyspnea within 120 minutes following ticagrelor administration will be recorded.

    Time frame: Time Frame: 0-120 minutes after ticagrelor administration (T1: baseline; T2: 30 min; T3: 60 min; T4: 120 min) Unit of Measure: Percentage of participants (%)

Secondary outcomes

  1. Time to onset of ticagrelor-associated dyspnea

    The time interval between ticagrelor administration and the first reported dyspnea episode will be measured in minutes.

    Time frame: Time Frame: Within 120 minutes after ticagrelor administration (T1-T4) Unit of Measure: Minutes (min)

Other outcomes

  1. Severity of ticagrelor-associated dyspnea

    Dyspnea severity will be assessed using the Modified Borg Dyspnea Scale (0-10) at T1 (baseline), T2 (30 min), T3 (60 min), and T4 (120 min) after ticagrelor administration. Higher scores indicate greater symptom severity.

    Time frame: Time Frame: 0-120 minutes after ticagrelor administration (T1: baseline; T2: 30 min; T3: 60 min; T4: 120 min) Unit of Measure: Score (0-10)

07

Study locations

1 of 2 sites recruiting
  • İstanbul Üniversitesi-Cerrahapaşa
    Istanbul, Avcılar 34320, Turkey (Türkiye)
    Not yet recruiting
  • Sağlık Bilimleri Üniversitesi Dr. Siyami Ersek Göğüs Kalp ve Damar Cerrahisi Eğitim Araştırma Hastanesi
    Istanbul, Üsküdar 34668, Turkey (Türkiye)
    Recruiting
08

References and documents

Study documents

  • Study protocol · Jul 18, 2024
  • Protocol and statistical analysis plan · Jul 18, 2025
  • Informed consent form · Jul 18, 2025

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 8, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07268859
Lead sponsor
Acibadem University
Responsible party
Sponsor
First posted
Dec 8, 2025
Start date
Mar 15, 2025
Primary completion
Jan 10, 2026 (estimated)
Completion
Jan 30, 2026 (estimated)
Last update
Dec 8, 2025

Study contacts

Emine Tuğba YORULMAZ, research assistant
Contact
tugbayoorlmz@gmail.com
+905556177281
Arzu ERKOÇ, Associate professor
Contact
arzu.erkochut@iuc.edu.tr
+905552735500

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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