Myocardial Dysfunction Evaluation in Lower Extremity Arterial Disease Patients With Deformation Analysis

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age35-85
SponsorTartu University Hospital

About this trial

Single centre observational study to assess lower extremity arterial disease (LEAD) patients' cardiac dysfunction with strain analyses and to assess connections between cardiac dysfunction, metabolomic changes and target organ damage in LEAD.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Fontaine I-IV class symptoms

Confirmed diagnosis of LEAD

Age 35-85

Has to have at least of the following: hypertension, diabetes, coronary artery disease or the patient smokes

Disqualifiers

Age <35 or >85 years

BMI ≥40 kg/m²

Known heart failure in history

Any acute or chronic autoimmune or rheumatic disease

Trial population

Patients with cardiovascular risk factors

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

162 Participants
are grouped into 2 trial groups
Group A: LEAD
Group B: Controls

Trial outcomes

Primary outcomes

1

left ventricular global longitudinal strain (GLS)

assessed by deformation analysis with echocardiography

Time frame
after enrollment and one year later

Secondary outcomes

1

other echocardiographic parameters

left ventricular ejection fraction, left atrial strain, lateral, medial and averaged E/E', left atrial volume, maximal tricuspid regurgitation velocity, right ventricular strain

Time frame
after enrollment and one year later
2

heart failure diagnosis

according to European Society of Cardiology year 2021 heart failure guideline (i.e assessment of symptoms, ECG, natriuretic peptides)

Time frame
after enrollment and if necessary, reassessment one year later
3

arterial stiffness

peripheral/central blood pressure, augmentation index, pulse wave velocity in aorta

Time frame
after enrollment and one year later
4

cardiac- and renal injury markers

high-sensitivoty troponin T, natriuretic peptides (NT-proBNP), cystatine C, creatinine, urea, calculated eGFR

Time frame
after enrollment and one year later

Other outcomes

Sponsors and contacts

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