The Role of Epicardial Adiposity in Heart Failure With Preserved Ejection Fraction

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorUniversity of Leicester

About this trial

In this study the investigators are aiming to recruit 130 patients with heart failure with preserved ejection fraction who are obese and non-obese to undergo CT and MRI scans, as well as some other investigations including blood tests, to help investigate if having more fat around the heart leads to worse heart function in this condition. This may lead to the development of new treatments aimed at lowering fat levels around the heart and in the rest of the body, specifically to treat HFpEF.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Participant is willing and able to give informed consent for participation in the study.

Aged ≥18 years old

Diagnosed with HFpEF by an experienced cardiologist or signs and symptoms of heart failure with a HFA-PEFF score ≥5

Able to understand written English

Disqualifiers

LV ejection fraction <45%

Recovered ejection fraction (previous ejection fraction <40%) unless reduced ejection fraction was in context of tachycardia induced cardiomyopathy (eg atrial fibrillation/atrial flutter)

Severe primary valvular heart disease

HFpEF due to infiltrative cardiomyopathy (cardiac amyloidosis or sarcoidosis), genetic hypertrophic cardiomyopathy, restrictive cardiomyopathy/pericardial disease or congenital heart disease

Trial population

Males and females, aged ≥18 years old, with a diagnosis of HFpEF with and without obesity.

Trial design

Design model

Case-control

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

130 Participants
are grouped into 1 trial group
Group A: Participants with HFpEF

Trial outcomes

Primary outcomes

1

Epicardial adipose tissue volume

Cardiac CT

Time frame
At baseline
2

Epicardial Adipose tissue CT attenuation

Cardiac CT

Time frame
At baseline
3

Left ventricular mass:volume ratio

Cardiac MRI

Time frame
At baseline

Secondary outcomes

1

Left ventricular global longitudinal strain

Cardiac MRI

Time frame
At baseline
2

Left ventricular circumferential peak early diastolic strain rate

Cardiac MRI

Time frame
At baseline
3

Myocardial blood flow

Cardiac MRI

Time frame
At baseline
4

left ventricular filling pressure

Echocardiography (Tissue Doppler)

Time frame
At baseline

Other outcomes

Sponsors and contacts

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