Exercise Magnetic Resonance Imaging in Patients With Obesity Associated Heart Failure

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorUniversity Medical Center Groningen

About this trial

To aim of the EXPOSURE study is to investigate the effects of epicardial fat on cardiac function, pericardial constraint and pulmonary artery vasodilatation using cardiac magnetic resonance (CMR) imaging at rest and during exercise stress testing in patients with HFpEF.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Signs and symptoms of HF according to the Europeans Society of Cardiology guideline.

LV ejection fraction ≥40%.

HFA-PEFF score ≥5 or HFA-PEFF score 2-4 in combination with positive stress test (Figure 1).

>18 years of age

Disqualifiers

Body weight >140 kg

Atrial fibrillation or other significant arrhythmia during the assessment

Contraindications for CMR (e.g. claustrophobia, implanted cardiac devices)

Myocardial infarction, percutaneous coronary intervention or coronary artery bypass graft <3 months or untreated severe obstructive coronary artery stenosis

Trial population

A cohort of 50 patients with HFpEF, in which the effects of epicardial fat on cardiac function, pericardial constraint and pulmonary artery vasodilatation will be tested using cardiac magnetic resonance (CMR) imaging at rest and during exercise stress testing.

Trial design

Design model

Cohort

Time perspective

Cross-sectional

Treatments tested in this trial

Not listed

Trial groups

No trial groups listed

Trial outcomes

Primary outcomes

1

Ventricular interdependence

the effect of epicardial fat on ventricular interdependence at peak exercise

Time frame
Baseline

Secondary outcomes

1

VO2-max

the effect of epicardial fat on VO2-max at peak exercise

Time frame
Baseline
2

LV/RV diastolic strain rate

the effect of epicardial fat on ventricular diastolic strain rate measured on echocardiography at peak exercise

Time frame
Baseline
3

slope of early LV/RV filling

the effect of epicardial fat on slope of early ventricular filling measured on echocardiography at peak exercise

Time frame
Baseline
4

left and right atrial reservoir strain

the effect of epicardial fat on atrial emptying fraction measured on echocardiography at peak exercise

Time frame
Baseline

Other outcomes

Sponsors and contacts

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