Ventricular Function, Left Clinical Trial
Official title:
Left Ventricular Dilatation in Athletes With Common Colds; a Cardio-vascular MRI Study
Cardiovascular magnetic resonance (CMR) imaging will be used to assess the impact of common
colds and physical training in high-performing athletes. Healthy individuals from the
general public will serve as a comparison group. CMR has previously been shown to accurately
assess cardiac function, edema, inflammation, and injury.
Athletes competing at National level and Developmental Canadian teams will be prospectively
recruited. All participants will have CMR scans at low and high intensity training.
Participants will be re-scanned immediately after clinical evidence of a common cold, as
determined by respiratory and flu-like symptoms. After 4 weeks, a follow-up CMR scan will be
performed. On the day of each CMR scan, electrocardiograms and blood samples will be drawn
from each participant. Blood samples will provide markers of systemic inflammation, such as
leukocyte counts. At each CMR scan, athletes will be asked to describe there recent history
of physical exertion in questionnaires, which will reflect the degree of physical exertion
performed.
Cardiovascular magnetic resonance (CMR) imaging will be used to assess the impact of a
common colds and physical training in high-performing athletes. Healthy individuals from the
general public will serve as a comparison group. CMR has previously been shown to accurately
assess cardiac function, edema, inflammation, and injury.
Athletes competing at National level and Developmental Canadian teams will be prospectively
recruited. All participants will have CMR scans at low and high intensity training.
Participants will be re-scanned immediately after clinical evidence of a common cold, as
determined by respiratory and flu-like symptoms. After 4 weeks, a follow-up CMR scan will be
performed. On the day of each CMR scan, electrocardiograms and blood samples will be drawn
from each participant. Blood samples will provide markers of systemic inflammation, such as
leukocyte counts. At each CMR scan, athletes will be asked to describe there recent history
of physical exertion in questionnaires, which will reflect the degree of physical exertion
performed.
Image analysis: CMR parameters that serve as surrogate markers for myocardial inflammation
will be assessed. Specifically, they include STIR (edema), early enhancement (inflammation),
and late enhancement (fibrosis). The presence of 2 of these parameters will indicate the
presence of myocardial inflammation. Qualitative and quantitative analysis will be performed
on images obtained from CMR scans, and will be assessed offline using CMR42 (Circle
International, Calgary) software. Standard methods of assessing edema, inflammation, and
fibrosis will be implemented. Standard left ventricular function volume analysis techniques
will be implemented to assess left ventricular dilatation.
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Observational Model: Case Control, Time Perspective: Prospective
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