Inflammation and the Heart
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Rheumatoid Arthritis
- Sponsor
- Vanderbilt University
- Enrollment
- 128
- Locations
- 1
- Primary Endpoint
- Left Ventricular Mass Indexed to BSA, g/m^2
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
Studies have shown that people with rheumatoid arthritis (RA) have a higher rate of heart disease than people that do not have RA. we believe this is caused by the inflammation produced by RA.
Detailed Description
Aim 1: We want to study people with RA to see if we can detect very early changes in their heart muscle and compare these results to people who do not have RA.
Investigators
C. Michael Stein
Dan May Professor of Medicine, Professor of Pharmacology, Assistant Director of the Division of Clinical Pharmacology
Vanderbilt University
Eligibility Criteria
Inclusion Criteria
- •Written informed consent
- •Age \>= 18
- •RA only: meet American College of Rheumatology(ACR)criteria for Diagnosis of RA
- •Controls only: no evidence of RA or other inflammatory disease
Exclusion Criteria
- •Previous or current heart failure or ischemic cardiovascular disease (eg stroke, myocardial infarction, angina, CABG, stent).
- •Atrial fibrillation.
- •Known structural or functional cardiac abnormality, including pulmonary htn.
- •Glomerular filtration rate \< 60 ml/min.
- •Pregnancy or breastfeeding.
- •Unable to perform MRI (claustrophobia, unable to fit in magnet,pacemaker,defibrillator or non-MR safe implant).
- •Hypersensitivity to gadolinium.
Outcomes
Primary Outcomes
Left Ventricular Mass Indexed to BSA, g/m^2
Time Frame: one scan, cross sectional comparison
Left Ventricular Mass (LVM) is known to increase in proportion to overall body size and differs by gender. To assess an individual's risk for a cardiovascular event based on LVM,an adjustment for the patient's body size should be done. LVM in grams was divided by body surface area in meters squared, to adjust for body size. Body surface area was calculated by square root (height (cm) X weight (kg)/3600).
Secondary Outcomes
- Left Atrium Size, mm(one scan, cross sectional comparison)