Cold-Region Exposure and Cardiac Remodeling After PCI
NCT07773870 · Status: RECRUITING · Type: OBSERVATIONAL · Enrollment: 400
Last updated 2026-08-19
Summary
This multicenter prospective observational cohort study aims to investigate the association between cumulative cold-region exposure and adverse left ventricular remodeling and cardiovascular outcomes in patients with coronary artery disease undergoing successful percutaneous coronary intervention (PCI).
Individual-level chronic cold exposure will be quantified primarily by cumulative months of residence, work, or other relevant exposure in cold regions during the 3 years preceding PCI. Additional exposure measures will include regional cold-wave days derived from meteorological records and winter outdoor occupational exposure.
Participants will undergo baseline cardiovascular magnetic resonance (CMR), echocardiography, electrocardiography, and clinical and laboratory assessment after PCI. Echocardiography will be repeated at 6 months to assess left ventricular remodeling. Cardiovascular events will be prospectively collected during follow-up.
The study will evaluate whether cumulative cold-region exposure is associated with distinct CMR phenotypes, adverse left ventricular remodeling, and major adverse cardiovascular events (MACE), and whether cold-exposure measures provide incremental prognostic information beyond conventional clinical, imaging, and electrocardiographic risk markers.
Conditions
- Coronary Artery Disease
- Percutaneous Coronary Intervention (PCI)
- Left Ventricular Remodeling
- Cold Exposure
Sponsors & Collaborators
-
Affiliated Hospital of Qinghai University
collaborator OTHER -
First Affiliated Hospital of Harbin Medical University
collaborator OTHER -
Inner Mongolia People's Hospital
collaborator OTHER -
Chinese PLA General Hospital
lead OTHER
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-06-30
- Primary Completion
- 2027-12-30
- Completion
- 2028-12-30
Countries
- China
Study Locations
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