COPD Clinical Trial
Official title:
Novel Vascular Manifestations of Chronic Obstructive Pulmonary Disease
Cognitive impairment is a known consequence of cerebral small-vessel disease. Moderate to
severe cognitive impairment has been shown in up to 60% of certain individuals with COPD and
is likely to profoundly influence an individual's ability to manage their disease.
In addition to cerebral small vessel damage and cognitive dysfunction, other organs such as
the heart, kidneys, and retina are likely to be susceptible to small-vessel damage in COPD.
Several large population studies have shown that COPD is a significant independent risk
factor for myocardial infarction, with the effect most marked in early, mild disease.
We propose to compare non-invasive MR brain imaging of white matter microstructure (diffusion
tensor), cerebral perfusion (arterial spin labelling) and accumulated cerebral small vessel
disease (cerebral microbleeds), in COPD patients to smokers without COPD. In addition we plan
to explore mechanisms of cerebral small vessel disease in COPD by looking for associations
between arterial stiffness, end organ vascular damage and cognitive function.
n/a
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