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The purpose of this study is to investigate the impact of caffeine on myocardial oxygenation and other cardiovascular magnetic resonance parameters in healthy controls.
Caffeine is presumed to create a confounder with diagnostic imaging. The vasodilatory capacity is considered a key measure for the detection of significant coronary disease with stenosed epicardial arterial conduit vessels and overall microvascular function, including endothelial dysfunction. Twenty nine healthy controls will undergo a baseline cardiovascular magnetic resonance (CMR) exam. Afterwards, participants will consume coffee in the presence of study personnel. This will consist of 3 espresso shots, which will be consumed within 15 minutes. Approximately 2h after coffee consumption the CMR exam will be repeated. The goal will be to investigate the impact of caffeine on myocardial features. In particular the effect on the myocardial oxygenation response to vasodilating and vasoconstricting stimuli.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control | Other | Control population who will undergo two cardiovascular magnetic resonance exams: one at rest and one after drinking caffeine. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Caffeine | Other | Consumption of 3 shots of espresso |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Difference in myocardial oxygenation responses | Percent (%) Measure of oxygenation-sensitive signal change measured by CMR | Through study completion up to 5 hours, before and after caffeine |
| Measure | Description | Time Frame |
|---|---|---|
| Difference in ejection fraction | Percent (%), measured by CMR | Through study completion up to 5 hours, before and after caffeine |
| Difference in cardiac index | L/min/m2, measured by CMR |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Dominik P Guensch, MD | Bern University Hospital, Inselspital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Bern University Hospital, Inselspital | Bern | 3010 | Switzerland |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29730991 | Background | Fischer K, Yamaji K, Luescher S, Ueki Y, Jung B, von Tengg-Kobligk H, Windecker S, Friedrich MG, Eberle B, Guensch DP. Feasibility of cardiovascular magnetic resonance to detect oxygenation deficits in patients with multi-vessel coronary artery disease triggered by breathing maneuvers. J Cardiovasc Magn Reson. 2018 May 7;20(1):31. doi: 10.1186/s12968-018-0446-y. | |
| 30104545 |
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| ID | Term |
|---|---|
| D002110 | Caffeine |
| D003069 | Coffee |
| ID | Term |
|---|---|
| D014970 | Xanthines |
| D000470 | Alkaloids |
| D006571 | Heterocyclic Compounds |
| D011688 | Purinones |
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Controlled before-after comparison
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Blinded image analysis
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| Through study completion up to 5 hours, before and after caffeine |
| Difference in myocardial peak strain | Percent (%), a measure of systolic function (shortening and thickening) of the myocardium measured by CMR | Through study completion up to 5 hours, before and after caffeine |
| Difference in myocardial time to peak strain | Milliseconds (ms), measured by CMR | Through study completion up to 5 hours, before and after caffeine |
| Difference in myocardial strain rate | Change in strain over time (/second), measured by CMR | Through study completion up to 5 hours, before and after caffeine |
| Difference in myocardial parametric mapping | Milliseconds (ms), measured by CMR | Through study completion up to 5 hours, before and after caffeine |
| Difference in 4D blood flow | Percent, measured by CMR | Through study completion up to 5 hours, before and after caffeine |
| Difference in rate pressure product | Blood pressure * heart rate | Through study completion up to 5 hours, before and after caffeine |
| van Dijk R, Ties D, Kuijpers D, van der Harst P, Oudkerk M. Effects of Caffeine on Myocardial Blood Flow: A Systematic Review. Nutrients. 2018 Aug 13;10(8):1083. doi: 10.3390/nu10081083. |
| 27473274 | Background | Kuijpers D, Prakken NH, Vliegenthart R, van Dijkman PR, van der Harst P, Oudkerk M. Caffeine intake inverts the effect of adenosine on myocardial perfusion during stress as measured by T1 mapping. Int J Cardiovasc Imaging. 2016 Oct;32(10):1545-53. doi: 10.1007/s10554-016-0949-2. Epub 2016 Jul 29. |
| D011687 |
| Purines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D028321 | Plant Preparations |
| D001688 | Biological Products |
| D045424 | Complex Mixtures |
| D001628 | Beverages |
| D000066888 | Diet, Food, and Nutrition |
| D010829 | Physiological Phenomena |
| D019602 | Food and Beverages |