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| ID | Type | Description | Link |
|---|---|---|---|
| 2012-A01605-38 | Other Identifier | ID-RCB number, ANSM |
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The investigators aim to explore obese cardiomyopathy by studying contractile twitch force, sarcomere sensitivity to calcium and mitochondrial function in atrial myocardial samples of patients grouped according to their body mass index, i.e. normal weight, overweight and obese.
Obesity is associated with the development of heart failure, regardless of coronary artery disease or other comorbidities.
Right atrial samples obtained from patients undergoing cardiac surgery and presenting no sign of clinical cardiomyopathy will be grouped according to patient's body mass index. Atrial trabeculae will be explored to dissect out the respective contribution of (i) sarcoplasmic reticulum dysfunction (isometric twitch force contraction analysis), (ii) abnormal sarcomere sensitivity to calcium assessed in permeabilized fibers and (iii) mitochondrial dysfunction to intrinsec contractile dysfunction of myocardium in obese patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| obese patients | patients with BMI > 30 |
| |
| no obese patients | norma weight patient (BMI<25) overweight patients ( 25< BMI >30) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| functional tissu atrial analysis | Other |
|
| Measure | Description | Time Frame |
|---|---|---|
| Intrinsic myocardial contractile force | twitch force developed by atrial trabeculae assessed in isometric conditions in atrial samples | the day of cardiac surgery |
| Measure | Description | Time Frame |
|---|---|---|
| sarcomere sensitivity to calcium | force-calcium concentration relation assessed on permeabilized atrial fibers | the day of cardiac surgery |
| Mitochondrial function | assesment of mitochondrial respiration and calcium retention capacity by oxygraphic measurement in saponin-permeabilized atrial fibers |
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Inclusion Criteria:
Exclusion Criteria:
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consecutive patients undergoing coronary artery bypass graft surgery or aortic valve replacement surgery with extracorporeal circulation
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| Name | Affiliation | Role |
|---|---|---|
| David Montaigne, MD | University Hospital, Lille | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hôpital Cardiologique - EFCV - CHRU | Lille | France |
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| ID | Term |
|---|---|
| D009765 | Obesity |
| D006333 | Heart Failure |
| ID | Term |
|---|---|
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
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Right atrial tissue obtained during cannulation of the right atrium in preparation for cardiac surgery with extracorporeal circulation.
| the day of cardiac surgery |
| D001835 |
| Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |