Exercise Capacity According to Coronary Microvascular Dysfunction and Body Composition

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age20-80
SponsorKorea University Anam Hospital

About this trial

The correlation of coronary microvascular function and body composition with cardiopulmonary exercise capacity will be assessed in patients with heart failure with preserved ejection fraction.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age 20 to 80

Typical/atypical chest pain or ischemic symptoms including dyspnea

No significant coronary artery stenosis (>50% stenosis) in coronary angiography or computed tomography

Left ventricular ejection fraction ≥50%

Disqualifiers

More than moderate valvular heart disease

Congenital heart disease

Chronic renal failure (estimated glomerular filtration rate <30 ml/min/1.73m2) or end-stage renal failure undergoing hemodialysis or peritoneal dialysis

Asthma, chronic obstructive pulmonary disease and primary pulmonary hypertension

Trial design

Design model

Single group

Treatments tested in this trial

  • Adenosine stress echocardiography with the evaluation of coronary artery blood flow

    Diagnostic test

    The color Doppler flow of distal left anterior descending artery will be examined from the modified apical four-chamber view in the anterior interventricular groove. In regard to body composition analysis, Using InBody S10, impedance is measured in 6 frequency bands (1 kilohertz (kHz), 5 kHz, 50 kHz, 250 kHz, 500 kHz, 1000 kHz) for each of 5 parts (right plate, left arm, torso, right leg, left leg). Reactance is measured in 3 frequency bands (5 kHz, 50 kHz, 250 kHz for each of 5 parts (right arm, left arm, torso, right leg, left leg). By treadmill exercise test with modified Bruce protocol or bicycle ergometer for patients with orthopedic problems, maximal oxygen consumption (VO2 max) will be measured using the exhalation gas analysis.

Treatment groups

100 Participants
are divided into 1 treatment group
Group A: Heart failure with preserved ejection fractionOther 1 intervention

Trial outcomes

Primary outcomes

1

Correlation of coronary blood flow with cardiopulmonary exercise capacity

Coronary blood flow is assessed by coronary flow reserve (CFR), which is defined as peak to baseline mean diastolic velocity of coronary flow. In regard to cardiopulmonary exercise capacity, maximal oxygen consumption (VO2max) will be assessed.

Time frame
up to day 14
2

Correlation of body composition with cardiopulmonary exercise capacity

In body composition analysis, skeletal muscle mass and body fat mass will be assessed. In regard to cardiopulmonary exercise capacity, maximal oxygen consumption (VO2max) will be assessed.

Time frame
up to day 14

Secondary outcomes

Other outcomes

Sponsors and contacts

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