Epicardial adipose tissue (EAT) volume and cardiovascular (CVD) risk in people living with HIV and general populations Circulatory System
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. >40 years old 2. HIV-positive 3. Stable ART for >6 months with two VL 200cells/mm3 for >2 years from recruitment 5. Understand the study procedures, be able to comply with study procedures and voluntarily agree to participate by giving informed written consent
Exclusion criteria
Exclusion criteria: 1. Subjects unable to comply with the study protocol 2. History of severe renal impairment (eGFR 9) 4. Active hepatitis B or hepatitis C 5. Any active illness, which in the opinion of the investigator precludes participation in the study 6. History of cancer 7. Active illicit intravenous drug use 8. Investigators may decide the subject cannot proceed if there are any relevant other abnormal results in screening assessments 9. History or current GLP-1 agonist use 10. For female subjects: pregnancy or breastfeeding at screening. 11. Subjects currently taking: Atypical antipsychotics, omega 3 supplements, Telmisartan/Irbesartan, Thiazolidinediones or regular NSAID use 12. Familial hypercholesterolaemia
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Epicardial adipose tissue (mls) measured using cardiac MRI at MRI study visit | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Intramyocardial triglyceride concentration (ppm) measured using MR spectroscopy at the MRI study visit 2. Fatty liver (KPa) measured using Fibroscan at screening visit (visit 1) 3. LV ejection fraction (%) measured using cardiac MIR at MRI study visit 4. T1 mapping (ms) measured at cardiac MRI at MRI study visit 5. T2 mapping (ms) measured at cardiac MRI at MRI study visit 6. Left atrial size (mls) measured at cardiac MRI at MRI study visit 7. LV mass (grams) measured at cardiac MRI at MRI study visit 8. Lipid profile (total cholesterol, HDL-cholesterol, LDL-cholesterol, triglyceride (mmol/L)) measured at screening visit (visit 1) 9. HBA1c (mmol/mol) measured at screening visit (visit 1) 10. Adiponectin (ug/ml) measured at screening visit (visit 1) 11. Glucose (mmol/L) measured at screening visit (visit 1) 12. Insulin (IU/ml) measured at screening visit (visit 1) 13. HS-CRP (mg/dl) measured at screening visit (visit 1) 14. Leptin (ng/ml) measured at screening visit (visit 1) 15. Follow up 5 year data measured at 5 year telephone follow up | — |
Countries
England, United Kingdom