The Effect of Age on the Hemodynamic Response During Rest and Exercise in Healthy Humans

N/ACompletedNCT01974557

Finn Gustafsson60 enrolled

Overview

Primary: To observe how hemodynamic parameters are affected by age during rest and exercise in healthy humans. Furthermore, how an acute fluid challenge changes hemodynamic parameters. Secondary: To thoroughly examine this population with regard to cardiac performance and function, anthropometrics, metabolic status, exercise capability, constitution, pulmonary status, and humoral markers of organ functions. This population will serve as a healthy control group, to which different populations can be compared, hence the need for a comprehensive characterization. Hypotheses: Diastolic function and parameters associated with diastolic function gradually deteriorate with increasing age. The gradual deterioration is unmasked at an earlier age during exercise and fluid challenge, compared to measurements made at rest.

Study Type

INTERVENTIONAL

Allocation

Purpose

BASIC_SCIENCE

Masking

NONE

Enrollment

Conditions

Hemodynamics

Interventions

Eligibility

Sex: ALLMin age: 18 YearsMax age: 80 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Age over 18 years * No acute or chronic diseases that can influence hemodynamics * Pause in medication with effect on hemodynamics 24h before experimental day * Echocardiography, with no structural abnormalities with an impact on hemodynamics. * ECG without any pathological findings, including arrhythmia * Normal red and white blood count, normal renal, liver, thyroid, immune, and hematological function as well as normal electrolytes, HbA1c and natriuretic peptides * Ability to perform graded bicycle exercise testing * BMI in the range of 20-30 kg/m2 * Height within population mean ±2 standard deviations * VO2-max within population mean ±2 standard deviations (age corrected) * Acceptable sonographic conditions * Informed consent Exclusion Criteria: * History of heart failure (verified or suspected), or heart failure verified by pathological left and right systolic and diastolic measurements of the heart * Hypotension (systolic blood pressure \< 100 mmHg) * Inability to participate * Pregnant women * Diabetes

Outcomes

Primary Outcomes

Composite of hemodynamic parameters

Invasive measurements using Swan-Ganz catheters and echocardiography will provide the data needed.

Time frame: minutes

Secondary Outcomes

Composite of humoral markers

Blood samples will be analysed with regard to humoral peptides and hormones that may affect hemodynamics.

Time frame: up to 1 hour