NCT05848934

Brief Summary

The purpose of this study is to elucidate the imaging mechanisms of cognitive function changes in patients with coronary heart disease before and after surgery or conservative treatment, and to evaluate and predict the postoperative neurological function recovery and cerebrovascular health level of patients by combining serum markers and patient cardiovascular health evaluation indicators.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
100

participants targeted

Target at P50-P75 for all trials

Timeline
Completed

Started May 2023

Typical duration for all trials

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

April 28, 2023

Completed
3 days until next milestone

Study Start

First participant enrolled

May 1, 2023

Completed
7 days until next milestone

First Posted

Study publicly available on registry

May 8, 2023

Completed
2.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2025

Completed
Last Updated

May 8, 2023

Status Verified

April 1, 2023

Enrollment Period

2.7 years

First QC Date

April 28, 2023

Last Update Submit

April 28, 2023

Conditions

Keywords

Coronary Heart DiseaseMRI ImagingNeuropsychological assessment

Outcome Measures

Primary Outcomes (3)

  • Change of brain volume before and after treatment

    The change of brain volume (mm3) are evaluated by structural 3DT1 weighted MRI. Freesurfer software is used to get the measured value of the volume.

    before operation; 3-10 Days after operation; 1 month; 6-12months

  • Change of cerebrovascular morphology before and after treatment

    The change of Cerebral vessel density, caliber and tortuosity, brain white matter hyperintensity lesion count

    before operation; 3-10 Days after operation; 1 month; 6-12months

  • Change of brain function connectivity before and after operation

    The change of brain functional connectivity intensity are evaluated by rest stage functional MRI. DPABI software based on MATLAB is used to get the measured the matrix value of functional connectivity.

    before operation; 3-10 Days after operation; 1 month; 6-12months

Secondary Outcomes (9)

  • Change of serum marker concentration before and after operation

    before operation; 3-10 Days after operation; 1 month; 6-12months

  • Change of plasma marker concentration before and after operation

    before operation; 3-10 Days after operation; 1 month; 6-12months

  • Change of cardiovascular risk factors before and after operation

    before operation; 3-10 Days after operation; 1 month; 6-12months

  • Change of executive functions before and after operation evaluated by Trail-Making Test Part A

    before operation; 3-10 Days after operation; 1 month; 6-12months

  • Change of working memory before and after operation evaluated by Forward Digit Span

    before operation; 3-10 Days after operation; 1 month; 6-12months

  • +4 more secondary outcomes

Study Arms (3)

CAD(coronary heart disease )surgical treatment

Device: magnetic resonance imageDiagnostic Test: Neuropsychological scale

CAD(coronary heart disease )conservative treatment

Device: magnetic resonance imageDiagnostic Test: Neuropsychological scale

HC (Healthy controls)

Device: magnetic resonance imageDiagnostic Test: Neuropsychological scale

Interventions

Imaging data were collected in a strong magnetic field

CAD(coronary heart disease )conservative treatmentCAD(coronary heart disease )surgical treatmentHC (Healthy controls)

Multi dimensional neuropsychological test

CAD(coronary heart disease )conservative treatmentCAD(coronary heart disease )surgical treatmentHC (Healthy controls)

Eligibility Criteria

Age40 Years - 80 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

All of the patients of CAD(coronary heart disease )surgical treatment group and CAD(coronary heart disease )conservative treatment group are in-patients and out-patients in the cardiac surgery department from the research center. The subjects of healthy control group are recruited from community.

You may qualify if:

  • Confirmed coronary heart disease or risk of coronary heart disease through clinical testing
  • Conscious and capable of completing neuropsychological scales

You may not qualify if:

  • Patients with other serious heart diseases (such as aortic aneurysm)
  • People with uncontrolled hypertension or diabetes
  • There are contraindications to MRI examination (there are metal implants in the body, such as cardiac pacemakers, metal dentures, artificial joints, non paramagnetism stents, etc.; there is claustrophobia)
  • Have a history of severe stroke, epilepsy, traumatic brain injury, and transient ischemic events
  • Existence of neurological and mental disorders (schizophrenia, depression, etc.), post-traumatic stress disorder, obsessive-compulsive disorder, multiple sclerosis, amyotrophic lateral sclerosis, etc
  • Have a history of alcohol or drug abuse
  • Those with significant organ dysfunction such as lung, liver, and kidney;
  • Patients with tumor, infectious diseases, blood system disease and immune system disease;
  • Currently participating in other clinical studies at the same time.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Yuncheng First Hospital

Yuncheng, Shanxi, China

Location

MeSH Terms

Conditions

Coronary Disease

Interventions

Magnetic Resonance Imaging

Condition Hierarchy (Ancestors)

Myocardial IschemiaHeart DiseasesCardiovascular DiseasesVascular Diseases

Intervention Hierarchy (Ancestors)

TomographyDiagnostic ImagingDiagnostic Techniques and ProceduresDiagnosis

Study Officials

  • Nengrui Guo

    Yuncheng First Hospital

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Target Duration
1 Year
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investgator

Study Record Dates

First Submitted

April 28, 2023

First Posted

May 8, 2023

Study Start

May 1, 2023

Primary Completion

December 31, 2025

Study Completion

December 31, 2025

Last Updated

May 8, 2023

Record last verified: 2023-04

Locations