The Effect of Age on the Hemodynamic Response During Rest and Exercise in Healthy Humans (HemReX)
Primary: To observe how hemodynamic parameters are affected by age during rest and exercise in healthy humans. Furthermore, how an acute fluid challenge changes hemodynamic parameters.
Secondary: To thoroughly examine this population with regard to cardiac performance and function, anthropometrics, metabolic status, exercise capability, constitution, pulmonary status, and humoral markers of organ functions. This population will serve as a healthy control group, to which different populations can be compared, hence the need for a comprehensive characterization.
Hypotheses:
Diastolic function and parameters associated with diastolic function gradually deteriorate with increasing age. The gradual deterioration is unmasked at an earlier age during exercise and fluid challenge, compared to measurements made at rest.
研究概览
研究类型
注册 (预期的)
阶段
- 不适用
联系人和位置
学习地点
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Copenhagen、丹麦、2100
- Dept. of Cardiology, Rigshospitalet, University Hospital of Denmark
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
- Age over 18 years
- No acute or chronic diseases that can influence hemodynamics
- Pause in medication with effect on hemodynamics 24h before experimental day
- Echocardiography, with no structural abnormalities with an impact on hemodynamics.
- ECG without any pathological findings, including arrhythmia
- Normal red and white blood count, normal renal, liver, thyroid, immune, and hematological function as well as normal electrolytes, HbA1c and natriuretic peptides
- Ability to perform graded bicycle exercise testing
- BMI in the range of 20-30 kg/m2
- Height within population mean ±2 standard deviations
- VO2-max within population mean ±2 standard deviations (age corrected)
- Acceptable sonographic conditions
- Informed consent
Exclusion Criteria:
- History of heart failure (verified or suspected), or heart failure verified by pathological left and right systolic and diastolic measurements of the heart
- Hypotension (systolic blood pressure < 100 mmHg)
- Inability to participate
- Pregnant women
- Diabetes
学习计划
研究是如何设计的？
设计细节
- 主要用途：基础科学
- 分配：不适用
- 介入模型：单组作业
- 屏蔽：无（打开标签）
研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Composite of hemodynamic parameters
大体时间：minutes
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Invasive measurements using Swan-Ganz catheters and echocardiography will provide the data needed.
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minutes
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Composite of humoral markers
大体时间：up to 1 hour
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Blood samples will be analysed with regard to humoral peptides and hormones that may affect hemodynamics.
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up to 1 hour
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合作者和调查者
调查人员
- 首席研究员：Finn Gustafsson, M.D. Msc、Chief Physician
出版物和有用的链接
一般刊物
- Andersen MJ, Wolsk E, Bakkestrom R, Christensen N, Carter-Storch R, Omar M, Dahl JS, Frederiksen PH, Borlaug B, Gustafsson F, Hassager C, Moller JE. Pressure-flow responses to exercise in aortic stenosis, mitral regurgitation and diastolic dysfunction. Heart. 2022 Nov 10;108(23):1895-1903. doi: 10.1136/heartjnl-2022-321204.
- Andersen MJ, Wolsk E, Bakkestrom R, Thomsen JH, Balling L, Dahl JS, Gustafsson F, Moller JE, Hassager C. Hemodynamic Response to Rapid Saline Infusion Compared with Exercise in Healthy Participants Aged 20-80 Years. J Card Fail. 2019 Nov;25(11):902-910. doi: 10.1016/j.cardfail.2019.06.004. Epub 2019 Jun 17.
研究记录日期
研究主要日期
学习开始
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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