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Abnormal heart rate rise in a population of Afro-Caribbean patients with cardiac amyloid disease

Chronotropic response to exercise and heart rate recovery in afro-caribbean patients with mutant transthyretin amyloid cardiomyopathy

Status
Not yet recruiting
Phases
Unknown
Study type
Observational
Source
ANZCTR
Registry ID
ACTRN12619001673134
Acronym
AMYLORATE
Enrollment
30
Registered
2019-11-29
Start date
2019-12-02
Completion date
Unknown
Last updated
2019-12-10

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

Cardiac amyloidosis (CA) is characterized by extracellular deposition of misfolded proteins that causes increased heart thickness. Exercise intolerance is among the most common complaints expressed by patients with cardiac amyloidosis due to poor cardiac performance. The aim of our study was to test whether chronotropic incompetence, and abnormal heart rate recovery would be associated with impaired aerobic capacity in ATTR patients with cardiac involvement.

Interventions

a) Lung function test and cardiopulmonary exercise testing will be performed on the same day. Typically, lung function tests will be performed before exercise testing b) Testing will be performed once at patients inclusion. Duration of lung function evaluation is 45 min and duration of cardiopulmonary exercise testing is 60 min. c) Doctors (cardiologists) will be involved in lung function test and cardiopulmonary exercise testing as well. d) Lung function test includes spirometry and lung pleth

a) Lung function test and cardiopulmonary exercise testing will be performed on the same day. Typically, lung function tests will be performed before exercise testing b) Testing will be performed once at patients inclusion. Duration of lung function evaluation is 45 min and duration of cardiopulmonary exercise testing is 60 min. c) Doctors (cardiologists) will be involved in lung function test and cardiopulmonary exercise testing as well. d) Lung function test includes spirometry and lung plethysmography. Cardiopulmonary exercise testing includes measures of ventilation and respiratory gas parameters during cycling exercise. Measuring systems relies on breath-by-breath analysis techniques. Oxygen and carbon dioxide gas analyzers are usually incorporated in a “metabolic cart” designed specifically for functional testing. Respiratory volumes are computed by integrating the air flow signals over the time of inspiration and expiration. Average minute volumes are derived from the breath-by-breath data multiplied by the respiratory rate

Sponsors

University Hospital Martinique
Lead SponsorHospital

Eligibility

Sex/Gender
All
Age
65 Years to 85 Years
Healthy volunteers
No

Inclusion criteria

Afro-Caribbean patients with mutant transthyretin amyloid cardiomyopathy

Exclusion criteria

coronary artery disease unable to perform cycling altered mental status

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026