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UnknownNCT06316661

CMR Assessment of Cardiac Microvascular Dysfunction in Patients With HFpEF

MAgnetic Resonance Non-contrast Assessment of Cardiac Microvascular Dysfunction in Patients With Heart Failure With PrEserveD Ejection Fraction (MAPPED)

Status
Unknown
Phase
Study type
Observational
Enrollment
60 (estimated)
Sponsor
Istituto Auxologico Italiano · Academic / Other
Sex
All
Age
18 Years
Healthy volunteers
Accepted

Summary

Heart failure with preserved ejection fraction (HFpEF) causes hospitalizations, premature mortality and high health care costs. This is also due to poor understanding of HFpEF pathogenesis and, thus, lack of specific therapies. Prompted by the recent demonstration that HFpEF clusters different clinical phenotypes, the investigators propose that these phenogroups are driven by distinct myocardial abnormalities. Cardiac Magnetic Resonance (CMR) can help filling this gap in knowledge: on top of providing gold standard measurements for myocardial volume and cellular mass, recent technical advantages mean that this test can assess and quantify left ventricular extracellular volume, fibrosis and microvascular function accurately and non-invasively. In HFpEF patients, the investigators aim at assessing 1) the coronary microvascular function impairment; 2) the myocardial fibrotic burden; - seeking to understand the disease in order to improve care and cardiovascular outcomes for these patients.

Conditions

Interventions

TypeNameDescription
DIAGNOSTIC_TESTstress perfusion cardiac magnetic resonancestress perfusion cardiac magnetic resonance according to guidelines, with quantitative evaluation for microvascular dysfunction assessment
DIAGNOSTIC_TESTcardiopulmonary exercise testbike exercise with ECG and non invasive respiratory gas exchange monitoring

Timeline

Start date
2019-03-01
Primary completion
2024-12-30
Completion
2024-12-30
First posted
2024-03-18
Last updated
2024-03-18

Locations

1 site across 1 country: Italy

Source: ClinicalTrials.gov record NCT06316661. Inclusion in this directory is not an endorsement.