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The greatest challenge in our ageing society are cardiovascular diseases such as stroke, heart attack, peripheral artery disease of the legs with non-healing wounds (ulcers), or diabetes. How healthy ageing affects the smallest blood vessels (microcirculation) and is not well understood. One reason for this is that no generally available medical instrument has the resolution to study the microcirculation. The recently developed optical coherence tomography angiography (OCTA), currently mainly used by eye doctors, is able to visualise the microcirculation. We have developed an automated software (OCTAVA) to determine metrics to characterise the microcirculation on the layers of density, diameter and tortuosity.
In the current study we aim at providing reference values of these metrics in hands and feet of healthy people according to age together with macrovascular function in arms and legs.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Healthy | Healthy people age 20-70 years |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Age | Other | Determination of age-dependence |
|
| Measure | Description | Time Frame |
|---|---|---|
| Microvascular density | Density of skin microvasculature of hand and foot with OCTA at rest and after 5 min distal occlusion | 1 day (One timepoint during single visit) |
| Microvascular diameter | Diameter of skin microvasculature of hand and foot with OCTA at rest and after 5 min distal occlusion | 1 day (One timepoint during single visit) |
| Microvascular turtuosity | Turtuosity of skin microvasculature of hand and foot with OCTA at rest and after 5 min distal occlusion | 1 day (One timepoint during single visit) |
| Measure | Description | Time Frame |
|---|---|---|
| Blood pressure | Upper arm blood pressure and leg systolic blood pressure | 1 day (One timepoint during single visit) |
| Endothelial function | Flow-mediated dilation of brachial and common femoral artery with ultrasound |
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Inclusion criteria:
Healthy, 20-70 years, BMI 20-30 kg/m^2
Exclusion criteria:
Diabetes mellitus, symptoms of acute infection, cardiac arrhythmias, active malignancy, clinical signs or symptoms of cardiovascular disease (coronary artery disease, lower extremity artery disease, cerebrovascular disease): angina pectoris, dyspnea, palpitation, syncope, claudication, active vasoactive medication.
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Healthy adults aiming at n=10 of each decade
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Christian Heiss, Prof. | Contact | +441737231749 | c.heiss@surrey.ac.uk | |
| Danuta Sampson, Dr. | Contact | danuta.sampson@surrey.ac.uk |
| Name | Affiliation | Role |
|---|---|---|
| Christian Heiss, Prof. | University of Surrey | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Surrey | Recruiting | Guildford | GU2 7XH | United Kingdom |
Depending on outcome, we may publish IPD.
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| ID | Term |
|---|---|
| D000375 | Aging |
| ID | Term |
|---|---|
| D048788 | Growth and Development |
| D010829 | Physiological Phenomena |
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| 1 day (One timepoint during single visit) |
| Arterial stiffness | Pulse wave velocity measured at upper arm (Arteriograph) | 1 day (One timepoint during single visit) |
| Arterial stiffness | Pulse wave velocity measured with photoplethysmography sensors at hand and foot | 1 day (One timepoint during single visit) |