slechte inspannings intolerantie cardiac failure exercise intolerance
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Healthy volunteers (phases 1 and 2, MRI study) - >18 years of age - Informed consent , Patients with stable ischemic heart disease (phase 3, MRI study) - Informed consent - > 18 years - ischemic heart disease - cardiac rehabilitation completed
Exclusion criteria
Exclusion criteria: - symptomatic heart failure - unstable ischemic heart disease - planned coronary revascularization - any significant valve pathology (grade >2) - any right-sided structural pathology or reduced function (Tapse
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Phase 1: Intraclass correlation coefficient between the four measurements of changes in stroke volume slope using the HCP during cardiopulmonary exercise testing (CPX). Phase 2: Intraclass correlation coefficient between the measurements of changes in stroke volume slope using the HCP during CPX and Pearson*s correlation coefficients between changes in stroke volume slope measured using the HCP and changes in O2pulse and VO2max (CPX) in healthy volunteers. Phase 3: Intraclass correlation coefficient between the measurements of changes in stroke volume slope using the HCP during CPX and Pearson*s correlation coefficients between changes in stroke volume slope measured using the HCP and changes in O2pulse and VO2max (CPX) in patients with stable ischemic heart disease. Additional MRI study: Intraclass correlation coefficient between the measurements of stroke volume between the HCP and MRI per data point in the volume-time curve. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary study parameters/endpoints (if applicable) - The association between E/A ratio as measured during exercise X-TTE with diastolic parameters derived from the HCP (Volume change during early filling phase / Volume change during late filling phase = Ev/Av) - Resting and exercise echocardiographic parameters, in particular SV and CO as measured using VTI (additionally, LV/RF dimensions and function, valve function, LV diastolic function, VCI diameter, dp/dt) and its association with relevant HCP parameters. MRI study o The reproducibility of LVVTC produced by HCP. o Stroke volume variations between HCP and MRI Other study parameters (if applicable) 1. HCP parameters: - Time of systole/ diastole (S/D-ratio = tSystole/tDiastole) - Left-ventricular ejection time (LVET [ms]) 2. V02peak (absolute, indexed for gender, age, body mass or lean body mass) and O2pulse (and other relevant parameters, such as VE/VCO2 slope) 3. The association between self-reported physical activity (SQUASH-questionnaire), VO2peak, and max levels of exercise (watts, METS, duration). 4. Hb and Ht using finger prick | — |
Countries
Netherlands