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Optimized Cardioprotection Therapy in Obese Subjects With CAD

A

Air Force Military Medical University of People's Liberation Army

Status

Unknown

Conditions

Adiposis; Heart
Obesity
Coronary Artery Disease (CAD) (E.G., Angina, Myocardial Infarction, and Atherosclerotic Heart Disease (ASHD))

Treatments

Procedure: PCI

Study type

Observational

Funder types

Other

Identifiers

Details and patient eligibility

About

The purpose of this study is to investigate the efficacy and mechanism of Adipokines Cardiac Protection in Obese Patients With coronary artery disease (CAD).

Full description

Adipokines (or adipocytokines) can be defined as a group of more than 600 bioactive molecules made from adipose tissue that acts as paracrine and endocrine hormones. Adipokines are involved in maintaining varieties of processes such as, appetite and satiety, energy expenditure activity, endothelial function, blood pressure, hemostasis, adipogenesis, insulin sensitivity, energy metabolism in insulin-sensitive tissues, fat distribution and insulin secretion in pancreatic β-cells. Adipokines may contribute to reduce scar formation and improve cardiac function in coronary artery disease (CAD). Reperfusion therapy such as percutaneous coronary intervention (PCI) should be administered to all eligible patients with CAD symptom. However, our previous work showed that obese patients may benefit more from PCI. Thus, the aim of the present study was to investigate the efficacy and mechanism of adipokines cardiac protection for obese and non-obese patients with coronary artery disease (CAD).

Enrollment

200 estimated patients

Sex

All

Ages

20 to 70 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

coronary artery disease according to the WHO definition With or without percutaneous coronary intervention

Exclusion criteria

previous Coronary artery bypass grafting (CABG) cardiomyopathy atrial fibrillation or flutter previous heart surgery severe valvular heart disease disease of the hematopoietic system NYHA functional class IV heart failure at baseline severe renal, lung and liver disease cancer

Trial design

200 participants in 2 patient groups

Obesity
Description:
BMI\>=25
Treatment:
Procedure: PCI
Non-Obesity
Description:
BMI\<25
Treatment:
Procedure: PCI

Trial contacts and locations

1

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Central trial contact

Dongdong Sun, MD, PhD; Wanrong Man, MD

Data sourced from clinicaltrials.gov

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