Cardiovascular Diseases Clinical Trial
Official title:
Analyzing the Association Between Cardiovascular Diseases and Mental Illness Considering Environmental Risk Factors
NCT number | NCT06239246 |
Other study ID # | 2022-R062 |
Secondary ID | |
Status | Recruiting |
Phase | |
First received | |
Last updated | |
Start date | October 1, 2022 |
Est. completion date | December 2024 |
Cardiovascular diseases (CVD) are important public health concerns around the world and closely associated with the development and progression of mental illness, which in turn increases the risk of developing cardiovascular diseases. This study aimed (1) to explore the known or unknown protective and risk factors underlying this comorbidity using questionnaires; (2) to study the biomarkers (body fluid, imaging) of the participants, and to find the influence on the relationship between CVD and mental health; (3) to identify high-risk populations for mental disorders in CVD patients and to establish prediction models. (4) to establish a specialized medical database.
Status | Recruiting |
Enrollment | 7000 |
Est. completion date | December 2024 |
Est. primary completion date | December 2024 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years to 75 Years |
Eligibility | Inclusion Criteria: 1. Outpatient and inpatient cardiology patients, diagnosed with at least one cardiovascular disease and at least one psychological disorder 2. Cardiovascular diseases: ACS (STEMI, non-STEMI, unstable angina), arrhythmia (atrial fibrillation, atrioventricular block), heart failure (stable/unstable), hypertension, cardiomyopathy (hypertrophic, dilated) 3. Psychological disorders: structured interview diagnosed as depression, anxiety, insomnia; PHQ-9/GAD-7 score = 10 points. 4.18-70 years old Exclusion Criteria: 1. Clear suicidal ideation: PHQ-9 item 9 suicide ideation = 3 points 2. Severe mental illnesses such as bipolar disorder, schizophrenia 3. Currently under psychotherapy 4. Severe cardiovascular diseases or other severe chronic life-threatening diseases 5. Refusal to participate 6. Abuse of alcoholism and drugs 7. Pregnant or breastfeeding 8. Cognitive impairment |
Country | Name | City | State |
---|---|---|---|
China | the first affliliated hospital of Ningbo University, Ningbo, Zhejiang Province, China | Ningbo | Zhejiang |
Lead Sponsor | Collaborator |
---|---|
Ningbo No. 1 Hospital |
China,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | severity of depressive symptoms through CES-D | severity of depressive symptoms through CES-D Include 20 questions, sum all points. Total points 60. Judgment critaria: =15 as no depressive symptoms, 16-19 as possible depressive symptoms, =20 as definite depressive symptoms. | cross-sectional analyses in 2024 | |
Primary | The Patient Health Questionnaire 9-item depression scale (PHQ-9) | Total points 27. depression judgment criteria: 0-4 as no, 5-9 as mild, 10-14 as moderate, 15-19 as moderate to severe, 20-27 as severe.
Framingham risk score,NYHA cardiac function classification, six-minute walk test |
cross-sectional analyses in 2024 | |
Primary | 7-item Generalized Anxiety Disorder scale (GAD-7) | Total points 21. Anxiety judgment criteria: 0-4 as no, 5-9 as mild, 10-14 as moderate, 15-21 as severe. | cross-sectional analyses in 2024 | |
Primary | Pittsburgh sleep quality index,PSQI | Include 23 items. Total points 21. Sleep quality judgment criteria: 0-5 very good, 6-10 good, 11-15 fair, 16-21 poor. | cross-sectional analyses in 2024 | |
Primary | New York heart failure classification | Judgment criteria:
Class I: patients are not limited in daily activities; Class II: patients are mildly limited in physical activity; Class III: patients are significantly limited in physical activity; Class IV: patients can not be engaged in any physical activity. |
cross-sectional analyses in 2024 | |
Primary | Six-minute walk test | A 6-minute walking distance of less than 150 meters indicates severe heart failure, 150-450 meters indicates moderate heart failure, and>450 meters indicates mild heart failure. | cross-sectional analyses in 2024 | |
Secondary | Major Adverse Cardiac Events | Hospitalization or mortality from Major Adverse Cardiac Events | 24 months |
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