A multidisciplinary investigation examining the circadian mechanisms regulating cardiovascular (CV) risk, with an additional focus on obesity. Specifically, in a valid circadian protocol, the investigators aim to study resting cardiovascular risk markers and the reactivity of circadian rhythms in these risk markers to standardized stressors. It is intended to compare results in lean and obese individuals to determine if there are specific risks across the circadian cycle specific to obesity. Furthermore, using an exploratory approach, the investigators propose to explore impairment in pre/post synaptic function in the cardiac left ventricle.
Overall, these studies will help us answer whether the circadian system predispose individuals to increased CV disease risk - particularly around the vulnerable morning period, and whether these risks differ with obesity. The results will serve as a foundation for clinical trials of appropriately timed dosing of medications targeting aspects of the CV system that increase effectiveness while decreasing side effects, and may have particular relevance to management of CV risk in people with obesity.
Study Type
OBSERVATIONAL
Enrollment
16
Drugs are used for as part of physiological monitoring and not as interventions, including imaging using radiopharmaceuticals (11C-meta-hydroxyephedrine, and 11C-CGP12177).
Oregon Health & Science University
Portland, Oregon, United States
Blood Pressure
Beat-by-beat and ambulatory blood pressure measurements.
Time frame: 5 Days
Coronary Microvascular Blood Flux
Coronary microvascular function, measured as coronary microvascular blood flux using myocardial contrast echocardiography.
Time frame: 3 days
Flow Mediated Dilation (FMD)
FMD to measure endothelial function.
Time frame: 5 days
Heart Rate
Heart rate via 2-channel echocardiogram (ECG)
Time frame: 5 Days
Epinephrine
Venous Epinephrine to estimate sympathetic output
Time frame: 5 days
Norepinephrine
Venous Norepinephrine to estimate sympathetic output
Time frame: 5 days
Cortisol
Saliva cortisol to estimate sympathetic output
Time frame: 5 days
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