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The aorta distributes cardiac stroke volume into the whole body through its finetuned conductance function, that is propagation and modulation of flow pattern. Physicomechanic properties of the aortic wall assure continuous and homogenous blood flow distribution to organs. The physicomechanic properties of the aortic wall are heterotopic: The collagen/elastin ratio doubles in the abdominal aorta as compared to the thoracic aorta. Malfunction of aortic conduction due to large artery stiffening (LAS) leads to premature wave reflection and excess pulsatility which translate into organ damage in low-resistance beds. The regional heterogeneity of aortic physicomechanic properties and their histomorphological substrate leading to altered regional hemodynamics are not well investigated.
Within the PHaRAo population, there is a spectrum of higher and lower risk patients. The aim of this cohort study is to collect prospectively and systematically clinical research data from PHaRAo patients. This cohort study is an open-end observational study to identify master switches in aortic disease
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| healthy volunteers |
| ||
| patients with aortic stenosis |
| ||
| patients with aortic aneurysms |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Collection of Clinical Data | Other | prospectively and systematically collection of clinical research data from apparently healthy volunteers and patients with aortic stenosis and aneurysms |
| Measure | Description | Time Frame |
|---|---|---|
| Progressive accelerated Large Artery Stiffening | measured by CMR | 5 years |
| Development of Aortic Aneurysm | measured by CMR | 5 years |
| Progressive accelerated Large Artery Stiffening | measured by tonometry | 5 years |
| Measure | Description | Time Frame |
|---|---|---|
| Diastolic Dysfunction | measured by CMR | 5 years |
| Diastolic Dysfunction | measured by echocardiography | 5 years |
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apparently healthy volunteers
Inclusion Criteria:
• Healthy volunteers
Exclusion Criteria:
Patients with Aortic Stenosis
Inclusion Criteria:
• Patients suffering from 3rd drgree Aortic Stenosis
Exclusion Criteria:
Patients with Aortic Aneurysms
Inclusion Criteria:
• Patients suffering from Aortic Aneurysms
Exclusion Criteria:
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healthy volunteers, patients with aortic stenosis, patients with aortic aneurysm
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Christine Quast, MD | Contact | +492118118800 | Christine.Quast@med.uni-duesseldorf.de | |
| Lisa Dannenberg, MD | Contact | +49211 81 05315 | LisaKristina.Dannenberg@med.uni-duesseldorf.de |
| Name | Affiliation | Role |
|---|---|---|
| Malte Kelm, MD | Division of Cardiology, Pulmonary Disease and Vascular Medicine | Study Chair |
| Christine Quast, MD | Division of Cardiology, Pulmonary Disease and Vascular Medicine | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Christine Quast | Recruiting | Düsseldorf | 40225 | Germany |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38836358 | Derived | Quast C, Bonner F, Polzin A, Veulemans V, Chennupati R, Gyamfi Poku I, Pfeiler S, Kramser N, Nankinova M, Staub N, Zweck E, Jokiel J, Keyser F, Hoffe J, Witkowski S, Becker K, Leuders P, Zako S, Erkens R, Jung C, Flogel U, Wang T, Neidlin M, Steinseifer U, Niepmann ST, Zimmer S, Gerdes N, Cortese-Krott MM, Feelisch M, Zeus T, Kelm M. Aortic Valve Stenosis Causes Accumulation of Extracellular Hemoglobin and Systemic Endothelial Dysfunction. Circulation. 2024 Sep 17;150(12):952-965. doi: 10.1161/CIRCULATIONAHA.123.064747. Epub 2024 Jun 5. |
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| ID | Term |
|---|---|
| D001018 | Aortic Diseases |
| D001024 | Aortic Valve Stenosis |
| D001014 | Aortic Aneurysm |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D000082862 | Aortic Valve Disease |
| D006349 | Heart Valve Diseases |
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prospectively defined blood sampling protocol
| Ejection Rate and Ejection Time | measured by CMR | 5 years |
| Ejection Rate and Ejection Time | measured by echocardiography | 5 years |
| Flow encoded regional MRI metrics | measured by CMR | 5 years |
| D006331 |
| Heart Diseases |
| D014694 | Ventricular Outflow Obstruction |
| D000783 | Aneurysm |