Hypercortisolism
Conditions
Brief summary
Identifying hypercortisolism patients at risk for cardio-vascular events despite biological cure, and determine which patients should be particularly followed. Hypercortisolic patients represent an ideal in vivo model to determine the interactions between glucocorticoids and ectopic fat development.
Interventions
Evaluation by MRI at 3 Tesla of the amount of ectopic fat heart, liver and pancréas and bone marrow.
Sponsors
Study design
Eligibility
Inclusion criteria
* Major, male or female * Introducing an active or healed hypercortisolism caused by Cushing's disease * signed informed consent.
Exclusion criteria
* Elderly patients under 18 years * Pregnant or lactating women * Previous history of myocardial infarction * Antecedent congenital cardiomyopathy * Adrenocorticotropic hormone-independent Hyperadrenocorticism * Hyperadrenocorticism by ectopic Adrenocorticotropic hormone secretion * Treatment with corticosteroids or insulin * Specific contraindication to the achievement of Nuclear Magnetic Resonance (metal heart valves, pacemakers, metallic foreign body, claustrophobia) * Persons deprived of liberty * Persons not affiliated to a social security scheme * People unable to give their consent in writing (in person or with the assistance of a third party).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| measuring the volume of epicardial adipose tissue, as measured by MRI to 3 Tesla. | 36 months |
| Assess insulin resistance by the blood sugar and insulin levels | 36 months |
| Assess cardiovascular risk by a blood complete lipid profile | 36 months |
Secondary
| Measure | Time frame |
|---|---|
| Assess cardiovascular risk by the blood leptin, adiponectin and omentin plasma level | 36 months |
| Assess insulin resistance by the blood leptin, adiponectin and omentin plasma level | 36 months |
Countries
France