Diagnostic Utility of Exercise Cardiac Magnetic Resonance in the Assessment of Cardiac Dyspnea.
Study Details
Study Description
Brief Summary
Researchers are examining the diagnostic utility of an exercise cardiac MRI (eCMR) in the assessment of cardiac dyspnea (shortness of breath).
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Subjects with unexplained but suspected cardiac dyspnea Subjects with unexplained but suspected cardiac dyspnea who are being scheduled for right heart catheterization will undergo an exercise cardiac magnetic resonance imaging (eCMR). |
Diagnostic Test: Exercise cardiac magnetic resonance imaging
Subjects will exercise on a treadmill and immediately following the completion of the stress protocol, subjects will undergo cardiac magnetic resonance imaging
Other Names:
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Outcome Measures
Primary Outcome Measures
- Ejection Fraction [Baseline]
Measured using exercise cardiac magnetic resonance imaging (eCMR) reported in percentages
- Stroke Volume [Baseline]
Measured using exercise cardiac magnetic resonance imaging (eCMG) reported in mL
- Longitudinal Strain Assessment [Baseline]
Measured using exercise cardiac magnetic resonance imaging (eCMG) reported in percentages
Eligibility Criteria
Criteria
Inclusion Criteria:
- Consecutive patients aged ≥18 years years with suspected cardiac dyspnea who are scheduled to undergo right heart catheterization as dictated by a comprehensive examination and echocardiography will be included for enrollment.
Exclusion Criteria:
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Age <18 years
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Pregnancy
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Mechanical ventilation
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Acute or chronic renal failure (creatinine clearance <30 ml/min or requiring renal replacement therapy)
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Inability to perform MRI (i.e. claustrophobia, severe obesity (>150 kg), device incompatible with MRI)
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Inability to exercise
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Significant arrhythmia that precludes adequate ECG-gating for the MRI (i.e. atrial fibrillation with highly variable cycle lengths)
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Prior heart or lung transplantation
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Left ventricular systolic (ejection fraction <50%) or diastolic failure (based on Framingham criteria for heart failure with preserved ejection fraction)
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Significant left-sided valvular disease (≥moderate aortic stenosis, mitral stenosis, aortic regurgitation, mitral regurgitation) or prior valve surgery
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Mayo Clinic in Florida | Jacksonville | Florida | United States | 32224 |
Sponsors and Collaborators
- Mayo Clinic
Investigators
- Principal Investigator: Brian P Shapiro, Mayo Clinic
Study Documents (Full-Text)
None provided.More Information
Additional Information:
Publications
None provided.- 18-005354