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临床试验/NCT01559714
NCT01559714已完成不适用

BE STRONG HCM: Biomarkers, Exercise Stress Testing, and mRi to Obtain New insiGhts in Hypertrophic CardioMyopathy Study

Heartcenter, University Medical Center St. Radboud1 个研究点 分布在 1 个国家目标入组 81 人开始时间: 2012年4月最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
发起方
入组人数
81
试验地点
1
主要终点
Troponin levels at baseline and troponin rise after exercise testing using a high sensitivity-troponin (hs-troponin) assay

研究概览

简要总结

Study population: 1) mutation carriers without the hypertrophic phenotype (pre-clinical Hypertrophic Cardiomyopathy (HCM)) and in 2) patients with clinically overt HCM (clinical HCM).

Hypothesis: Cardiac troponin release after exercise can be demonstrated in both clinical and pre-clinical HCM patients.

研究设计

研究类型
Observational
观察模型
Cohort
时间视角
Prospective

入排标准

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

入选标准

  • Patients with an echocardiographically proven hypertrophic cardiomyopathy according to the ESC guidelines or individuals with a HCM associated mutation without the clinical characteristics of hypertrophic cardiomyopathy (pre-clinical HCM patients);
  • Age ≥ 18 years;
  • Able to comply with the protocol;
  • Written informed consent.

排除标准

  • Known significant epicardial coronary artery disease;
  • Patients with LVH in the clinical setting of other disorders that explain the myocardial hypertrophy (amyloidosis, MELAS, Anderson-Fabry, WPW etc.);
  • Heart failure NYHA class III-IV;
  • Patients with known hemodynamic instability or syncope during exercise due to left ventricular outflow gradient or occurrence of ventricular arrhythmia;
  • History of PTSMA (percutaneous transluminal septal myocardial ablation) or Morrow myectomy;
  • Patients not able to complete a bicycle test;
  • Any contraindication to MR imaging (MR imaging is not obligatory for assessment of the primary objective, therefore relative exclusion criterion);
  • Recent (within 30 days) admittance to the hospital for any cardiac reason (myocardial infarction, heart failure, cardiac arrhythmia, etc.);
  • Severe renal insufficiency (eGFR < 30 ml/min);
  • Any other condition which, in the opinion of the investigator, may pose a significant hazard to the subject if he or she participates in the present study.

结局指标

主要结局

Troponin levels at baseline and troponin rise after exercise testing using a high sensitivity-troponin (hs-troponin) assay

时间窗: Baseline, 6 and 24 hours after exercise

次要结局

  • Correlation between troponin levels and phenotypic characteristics assessed with MRI (LV volumes, mass and ejection fraction, presence of LGE and/or elevated signal on T2-weighted imaging)(Baseline)

研究者

发起方
Heartcenter, University Medical Center St. Radboud
申办方类型
Other
责任方
Principal Investigator
主要研究者

D.H.F. Gommans, MD

Principal Investigator

Heartcenter, University Medical Center St. Radboud

研究点 (1)

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