Structural Heart Abnormality Clinical Trial
Official title:
Population-based Study to Identify Structural Heart Disease Abnormalities in a Spanish Community: Salamanca. The SALMANTICOR Study
The SALMANTICOR study will obtain data on the prevalence and incidence of structural heart disease in a population setting. A cross-section survey of randomly selected residents of Salamanca (Spain) will be performed. A total of approximately 2400 individuals, stratifies by place of residence (rural and urban) and by age and sex will be studied. The variables to analyzed will be obtained from the clinical history, different surveys including social status, Mediterranean diet, functional capacity, electrocardiogram, echocardiogram and biochemical and genetic analysis. Surviving participants are expected to return for a 5 and 10-year follow-up visit.
The objectives of this study are: to obtain data on the prevalence and incidence of
structural heart disease in a population setting; to show the spatial distribution different
patterns of structural heart disease through the spectrum of age and sex and between urban
and rural; and to generate new hypotheses which might serve to healthcare research and to
political commitment to obtain resources and support effective public health program
implementation.
The SALMANTICOR study is a cross-sectional descriptive population-based study of the
prevalence of structural heart disease and their risk factors that will enroll a total of
2400 individuals, stratifies by place of residence (rural and urban), by age and by sex, in a
Spanish community: Salamanca. Cohort participants will undergo a basal examination visit
between 2015 and 2018. Surviving participants are expected to return for a 5 and 10-year
follow-up visit. Institutional review committee approval was obtained and all participants
will provide informed consent. The SALMANTICOR study is designed to provide echocardiographic
parameters characterizing cardiac structure and function in all individuals. Medical history,
surveys completion, and examinations will be obtained at the subject´s primary care referral
center and will be analyzed and interpreted centrally at University Hospital of Salamanca. A
complete medical history, physical examination and the surveys completion checkout will be
performed by a cardiologist in a separate office to where examinations and blood sample
extraction will be performed. Echocardiographic measures will be initially performed.
Participant blood pressure and VASERA measures will be taken within 30 minutes of starting
the echocardiographic exam and after the subject will be resting for 10 minutes. ECG will be
performed after VASERA to finalize with the blood sample extraction. A magnetic resonance
substudy and and a details analyses in diabetic individuals will also performed. SALMANTICOR
participants will undergo surveillance for cardiovascular events, including heart failure,
incident coronary heart disease, and all-cause mortality.
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