Health Improvements by Understanding the Determinants of Residual Risk in Coronary Artery Disease and New Targets for Prevention and Treatment
NCT06601153 · Status: RECRUITING · Type: OBSERVATIONAL · Enrollment: 961
Last updated 2024-09-19
Summary
Current medical treatments, in patients with stable coronary artery disease (CAD), mainly target established risk factors and are able to reduce morbidity and mortality but still leave a substantial residual risk of coronary artery disease progression and events. The main hypothesis of this study is that metabolic derangement, including pre-diabetes, elevated levels of triglycerides, low levels and functionality of high-density lipoprotein cholesterol, often associated with a chronic inflammatory state, is a currently unrecognized and undertreated conditon which could be the most relevant determinant of residual risk.
The goal of HURRICANE observational study is to discover specific individual genetic/molecular profiles subtending emerging cardiometabolic and vascular risk patterns and associating with a more severe and progressive coronary artery disease. We will thus develop and preliminary validate new predictive models for the recognition of high-risk patients and explore possible new targets for individualized preventive treatment.
The severity, extent and progression of coronary plaques will be assessed by qualitative and quantitative analysis of cardiac computed tomography (CCT) performed in retrospective and prospective cohorts of patients with stable coronary disease.
Conditions
- Coronary Arterial Disease (CAD)
Interventions
- DIAGNOSTIC_TEST
-
Cardiac CT
Cardiac CT to characterize coronary atherosclerosis
Sponsors & Collaborators
-
CNR Institute of Clinical Physiology, Pisa, Italy
collaborator UNKNOWN -
IRCCS SYNLAB SDN, Naples, Italy
collaborator UNKNOWN -
Fondazione Toscana Gabriele Monasterio
lead OTHER
Principal Investigators
-
Danilo Neglia, MD, PhD · Fondazione Toscana Gabriele Monasterio
Eligibility
- Min Age
- 40 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-07-07
- Primary Completion
- 2025-10-31
- Completion
- 2025-12-31
Countries
- Italy
Study Locations
More Related Trials
-
Imaging Techniques for Identifying Factors of Sudden Cardiac Death Risk
NCT00181233 ·Status: RECRUITING
-
Mechanisms of Myocardial Injury and Ischemia in Patients With Rapid Atrial Fibrillation
NCT06951100 ·Status: RECRUITING
-
TRAnscranial Doppler CErebral Blood Flow and Cognitive IMPAIRment in Heart Failure
NCT05250349 ·Status: RECRUITING
-
CCT for Comprehensive Risk Stratification Following STEMI
NCT06020209 ·Status: RECRUITING ·Phase: NA
-
Myocardial Ischemia in Non-obstructive Coronary Artery Disease
NCT01853527 ·Status: COMPLETED
-
Multimodality Cardiovascular Imaging for the Translation of Therapies for Vascular Activation After MI
NCT05880355 ·Status: NOT_YET_RECRUITING ·Phase: EARLY_PHASE1
-
Diagnosis of Coronary Artery Disease in High Risk Diabetic Patients
NCT00202670 ·Status: TERMINATED
-
CT Coronary Angiography for Type 2 Myocardial Infarction
NCT06047392 ·Status: UNKNOWN ·Phase: NA
-
DEFINing the PrEvalence and Characteristics of Coronary Artery Disease Among Patients With TYPE 2 Myocardial Infarction Using CT-FFR
NCT04864119 ·Status: COMPLETED
-
Coronary CT Angiography Using 320-Row Volume CT in Patients With Atrial Fibrillation
NCT00968279 ·Status: COMPLETED
-
Prognostic Value of Cardial Stress Perfusion Imaging
NCT04564794 ·Status: COMPLETED
-
The Impact of Routine Measurement of Cardiac Troponin (hsTnT) on Outcome in Elderly Patients Undergoing Major Surgery
NCT03605134 ·Status: TERMINATED
-
Association Between Coronary Flow Reserve and BH4 Levels in High CV Risk
NCT03841383 ·Status: COMPLETED
-
Comparison of Cardiac Computed Tomography for the Detection of Coronary Artery Disease With Nuclear Stress Test
NCT00352937 ·Status: COMPLETED
-
Safety and Cost-efficiëncy of New Imaging Techniques in Patients Suspected of Coronary Artery Disease
NCT04939207 ·Status: RECRUITING ·Phase: NA
-
Arterial Stiffening as a Predictor for Diastolic Cardiac Dysfunction and HFpEF
NCT06208007 ·Status: RECRUITING
-
Comparative Study of Cardiac Adrenergic Function Explored by I-123-MIBG and CZT Camera (D-SPECT) Versus Anger Camera in Patients With Heart Failure
NCT02515812 ·Status: COMPLETED ·Phase: NA
-
Using Retinal Photograph Based AI to Predict Incident Coronary Heart Disease
NCT06695273 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Non-invasive Cardiac Screening in High Risk Patients -The GROUND Study
NCT00189111 ·Status: COMPLETED ·Phase: PHASE3
-
Non-invasive Coronary Thrombus Imaging to Define These Cause of Acute Myocardial Infarction
NCT06113510 ·Status: RECRUITING
-
Less Invasive Detection and Treatment of Very Early Coronary Artery Disease in Patients With Diabetes Mellitus
NCT00797186 ·Status: UNKNOWN ·Phase: NA
-
Myocardial Ischemia After Coronary Sinus Reduction Stent Implantation
NCT06033495 ·Status: UNKNOWN
-
Intracardiac Flow Remodeling in Athletes
NCT03076788 ·Status: COMPLETED
-
Detection of Subclinical Atherosclerosis in Asymptomatic Individuals
NCT00862056 ·Status: COMPLETED
-
Dual Source CT Angiography for Detection of Coronary Artery Stenoses
NCT01190579 ·Status: UNKNOWN