Actively Recruiting

Age: 18Years +
All Genders
ID06514820

EXercise Magnetic Resonance Imaging in Patients With Obesity Associated Heart Failure With Preserved Ejection Fraction (EXPOSURE) Study

Led by University Medical Center Groningen · Updated on 2024-07-23

50

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are investigating how epicardial fat, the fat directly around the heart, affects heart function in people with heart failure with preserved ejection fraction (HFpEF). The study focuses on understanding how this fat may limit heart movement and impact the interaction between heart chambers during exercise. This is an observational study including 50 patients with HFpEF, measuring differences in heart function based on fat volume around the heart. Participants will undergo cardiac magnetic resonance imaging (CMR) both at rest and during exercise stress testing. They will be divided into groups with high or low epicardial fat volume. The study will assess multiple heart function measures during peak exercise, such as heart chamber strain, blood flow in the pulmonary artery, and cardiac output. These measures will also be compared between men and women. During the study, patients will complete exercise tests on a bicycle while undergoing CMR scans. Researchers will evaluate heart function changes from rest to peak exercise. They will collect data on heart chamber movement, blood flow, and oxygen use. The main outcome is the difference in left ventricular shape at peak exercise. Additional outcomes include heart strain, blood flow measures, and cardiac output. The study aims to understand how epicardial fat influences heart performance in HFpEF.

CONDITIONS

Brief Title

Exercise Magnetic Resonance Imaging in Patients With Obesity Associated Heart Failure

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Signs and symptoms of heart failure according to the European Society of Cardiology guideline
  • Left ventricular ejection fraction of 40% or higher
  • HFA-PEFF score 5 or higher, or score 2-4 with positive stress test
  • Age over 18 years
  • In normal sinus rhythm
  • Able to perform a bicycle exercise test
  • Willing to sign informed consent
Not Eligible

You will not qualify if you...

  • Body weight over 140 kg
  • Atrial fibrillation or other significant arrhythmia during assessment
  • Contraindications for cardiac magnetic resonance imaging (e.g., claustrophobia, implanted cardiac devices)
  • Recent myocardial infarction, coronary intervention, or bypass surgery within the last 3 months, or untreated severe coronary artery stenosis
  • More than moderate left-sided valve disease
  • Complex congenital heart disease

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

1
2
3
+1

Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Diagnostic Evaluation

Duration - 1 day

Participants undergo cardiac magnetic resonance imaging and exercise testing to assess heart function and epicardial fat volume.

1 visit (in-person)

Long-term Monitoring

Duration - Up to study completion

Participants are observed for changes in cardiac function and ventricular interdependence related to epicardial fat volume.

No additional visits required

Trial Site Locations

Total: 1 location

1

University Medical Center Groningen

Groningen, Netherlands, 9713GZ

Actively Recruiting

Loading map...

Research Team

T

Thomas M Gorter, MD, PhD

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

0

Similar Trials

AI-Enabled Direct-from-ECG Ejection Fraction (EF) Severity U...

Ventricular Ejection Fraction

Actively Recruiting

8 locations

AlEX-DHF: Ablation and Exercise in Diastolic Heart Failure

HFpEF - Heart Failure With Preserved Ejection Fraction

Actively Recruiting

1 location

Cardiac and Metabolic Effects of Dapagliflozin in the Failin...

Fontan Circulation

Actively Recruiting

1 location

Frequently Asked Questions

Have more questions? Get in touch with our team for quick support

Not the Right Trial for You?

Explore thousands of other clinical trials that might be a better match.
Sign up to get personalized trial recommendations delivered to your inbox.

Already have an account? Log in here