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临床试验/NCT04955054
NCT04955054招募中不适用

the Association of Intestinal Microbial Metabolites and Cardiac Function in Acute Myocardial Infarction

Peking University Third Hospital1 个研究点 分布在 1 个国家目标入组 100 人开始时间: 2020年10月11日最近更新:
适应症

试验速览

阶段
不适用
状态
招募中
入组人数
100
试验地点
1
主要终点
the plasma levels of BAs and SCFA

研究概览

简要总结

Recently, more and more studies have confirmed that intestinal flora is closely related to the occurrence and development of cardiovascular diseases.Bile acids (BAS), short chain fatty acids (SCFA) and trimethylamine oxide (TMAO), the main metabolites of intestinal flora, are the key mediators of the interaction between gut and host. We aim to explore the association of BAs and SCFA with cardiac function in patients with AMI.

详细描述

Cardiovascular disease is the leading cause of death in China, and acute myocardial infarction (AMI) is the main cause of death of cardiovascular disease. In recent years, clinical epidemiological studies have confirmed that intestinal flora is closely related to the occurrence and development of cardiovascular diseases such as diabetes, hyperlipidemia, hypertension, atherosclerosis, coronary heart disease, heart failure and so on. Bile acids (BAS), short chain fatty acids (SCFA) and trimethylamine oxide (TMAO), the main metabolites of intestinal flora, are the key mediators of the interaction between gut and host. It is suggested that intestinal flora and its metabolites participate in the pathophysiological process of cardiovascular disease through inflammation, oxidative stress and programmed death, and have the potential to be intervention targets. Basic and clinical studies have shown that TMAO is associated with the onset and poor prognosis of AMI by promoting the development of atherosclerosis and thrombosis, but there are few reports on the relationship between BAs or SCFA and AMI. We aim to explore the association of BAs and SCFA with cardiac function in patients with AMI.

研究设计

研究类型
Observational
观察模型
Case Control
时间视角
Prospective

入排标准

年龄范围
18 Years 至 85 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • The patient, aged 18-85 years, had undergone coronary angiography and agreed to be enrolled and signed the informed consent.
  • AMI : according to ST segment elevation myocardial infarction diagnostic criteria.
  • typical chest pain symptoms;
  • negative in markers of myocardial injury;
  • The stenosis of main coronary artery or its main branches is more than 50%
  • atypical chest pain symptoms
  • negative in markers of myocardial injury;
  • The stenosis of main coronary artery and its main branches is less than 50%

排除标准

  • Acute infection or application of antibiotics in the past 3 months;
  • Chronic heart failure;
  • History of inflammatory or absorptive bowel disease and bowel resection;
  • Acute, chronic liver disease or other reasons lead to abnormal liver function (transaminase is more than 5 times of normal value);
  • Renal insufficiency (serum creatinine > 220μml/L or creatinine clearance rate < 30 ml/min);
  • Malignant tumor;
  • Autoimmune diseases;
  • Uninformed patients

结局指标

主要结局

the plasma levels of BAs and SCFA

时间窗: one week

the plasma levels of bile acids and short chain fatty acid in fast

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Sponsor

研究点 (1)

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