Covid-19 Effects on ARTErial StIffness and Vascular AgeiNg: CARTESIAN Study Rationale and Protocol
In December 2019, an outbreak of pneumonia caused by a novel Coronavirus (COVID-19) spread rapidly worldwide. Although the clinical manifestations of COVID-19 are dominated by respiratory symptoms, the cardiovascular system is extensively affected at multiple levels. Due to the unprecedented consequ...
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| Veröffentlicht in: | Artery research Jg. 27; H. 2; S. 59 - 68 |
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| Format: | Journal Article |
| Sprache: | Englisch |
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Dordrecht
Springer Netherlands
2020
Springer Nature B.V BMC |
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| ISSN: | 1872-9312, 1876-4401, 1876-4401 |
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| Abstract | In December 2019, an outbreak of pneumonia caused by a novel Coronavirus (COVID-19) spread rapidly worldwide. Although the clinical manifestations of COVID-19 are dominated by respiratory symptoms, the cardiovascular system is extensively affected at multiple levels. Due to the unprecedented consequences of the COVID-19 pandemic, the ARTERY society decided to launch the Covid-19 effects on ARTErial StIffness and vascular AgeiNg (CARTESIAN) study — the first international multicentre study into the effects of COVID-19 on non-invasive biomarkers of vascular ageing. The main study objective is to evaluate the presence of Early Vascular Ageing (EVA) 6 and 12 months after COVID-19 infection. Secondary objectives are to study the effect of COVID-19 disease severity on EVA, to investigate the role of psychosocial factors in COVID-19 induced EVA, and to investigate the potential modifying effect of comorbidities and chronic treatments. In the CARTESIAN study, a broad array of cardiovascular measurements, including carotid-femoral pulse wave velocity, central blood pressure, carotid ultrasound, brachial flow-mediated dilatation, will be performed. To date, 43 centres from 21 countries have agreed to participate, with an expected study population of >2500 individuals. To our knowledge, CARTESIAN will be the first study to provide insight into the relationship between COVID-19, its severity, and early vascular ageing in a large cohort, potentially enabling future care and diagnostics to be more focused on the most vulnerable. |
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| AbstractList | In December 2019, an outbreak of pneumonia caused by a novel Coronavirus (COVID-19) spread rapidly worldwide. Although the clinical manifestations of COVID-19 are dominated by respiratory symptoms, the cardiovascular system is extensively affected at multiple levels. Due to the unprecedented consequences of the COVID-19 pandemic, the ARTERY society decided to launch the Covid-19 effects on ARTErial StIffness and vascular AgeiNg (CARTESIAN) study - the first international multicentre study into the effects of COVID-19 on non-invasive biomarkers of vascular ageing. The main study objective is to evaluate the presence of Early Vascular Ageing (EVA) 6 and 12 months after COVID-19 infection. Secondary objectives are to study the effect of COVID-19 disease severity on EVA, to investigate the role of psychosocial factors in COVID-19 induced EVA, and to investigate the potential modifying effect of comorbidities and chronic treatments. In the CARTESIAN study, a broad array of cardiovascular measurements, including carotid-femoral pulse wave velocity, central blood pressure, carotid ultrasound, brachial flow-mediated dilatation, will be performed. To date, 43 centres from 21 countries have agreed to participate, with an expected study population of >2500 individuals. To our knowledge, CARTESIAN will be the first study to provide insight into the relationship between COVID-19, its severity, and early vascular ageing in a large cohort, potentially enabling future care and diagnostics to be more focused on the most vulnerable. In December 2019, an outbreak of pneumonia caused by a novel Coronavirus (COVID-19) spread rapidly worldwide. Although the clinical manifestations of COVID-19 are dominated by respiratory symptoms, the cardiovascular system is extensively affected at multiple levels. Due to the unprecedented consequences of the COVID-19 pandemic, the ARTERY society decided to launch the Covid-19 effects on ARTErial StIffness and vascular AgeiNg (CARTESIAN) study - the first international multicentre study into the effects of COVID-19 on non-invasive biomarkers of vascular ageing. The main study objective is to evaluate the presence of Early Vascular Ageing (EVA) 6 and 12 months after COVID-19 infection. Secondary objectives are to study the effect of COVID-19 disease severity on EVA, to investigate the role of psychosocial factors in COVID-19 induced EVA, and to investigate the potential modifying effect of comorbidities and chronic treatments. In the CARTESIAN study, a broad array of cardiovascular measurements, including carotid-femoral pulse wave velocity, central blood pressure, carotid ultrasound, brachial flow-mediated dilatation, will be performed. To date, 43 centres from 21 countries have agreed to participate, with an expected study population of >2500 individuals. To our knowledge, CARTESIAN will be the first study to provide insight into the relationship between COVID-19, its severity, and early vascular ageing in a large cohort, potentially enabling future care and diagnostics to be more focused on the most vulnerable.In December 2019, an outbreak of pneumonia caused by a novel Coronavirus (COVID-19) spread rapidly worldwide. Although the clinical manifestations of COVID-19 are dominated by respiratory symptoms, the cardiovascular system is extensively affected at multiple levels. Due to the unprecedented consequences of the COVID-19 pandemic, the ARTERY society decided to launch the Covid-19 effects on ARTErial StIffness and vascular AgeiNg (CARTESIAN) study - the first international multicentre study into the effects of COVID-19 on non-invasive biomarkers of vascular ageing. The main study objective is to evaluate the presence of Early Vascular Ageing (EVA) 6 and 12 months after COVID-19 infection. Secondary objectives are to study the effect of COVID-19 disease severity on EVA, to investigate the role of psychosocial factors in COVID-19 induced EVA, and to investigate the potential modifying effect of comorbidities and chronic treatments. In the CARTESIAN study, a broad array of cardiovascular measurements, including carotid-femoral pulse wave velocity, central blood pressure, carotid ultrasound, brachial flow-mediated dilatation, will be performed. To date, 43 centres from 21 countries have agreed to participate, with an expected study population of >2500 individuals. To our knowledge, CARTESIAN will be the first study to provide insight into the relationship between COVID-19, its severity, and early vascular ageing in a large cohort, potentially enabling future care and diagnostics to be more focused on the most vulnerable. |
| Author | Spronck, Bart Lacolley, Patrick Hametner, Bernhard Hughes, Alun Bruno, Rosa Maria Weber, Thomas Rajkumar, Chakravarthi Terentes-Printzios, Dimitrios Mayer, Christopher C. Hansen, Tine Willum Boutouyrie, Pierre Muiesan, Maria Lorenza |
| AuthorAffiliation | 2 Department of Biomedical Engineering, CARIM School for Cardiovascular Diseases, Maastricht University, Maastricht, The Netherlands 5 MRC unit for Lifelong Health and Ageing, Institute of Cardiovascular Science, University College London, UK 4 Center for Health & Bioresources, Biomedical Systems, AIT Austrian Institute of Technology GmbH, Vienna, Austria 6 Faculty of Medicine, Lorraine University, Inserm, DCAC, Nancy, France 3 Department of Biomedical Engineering, School of Engineering & Applied Science, Yale University, New Haven, CT, USA 10 Cardiology Department, Klinikum Wels-Grieskirchen, Wels, Austria 9 First Cardiology Department, Athens Medical School, Hippokration Hospital, Athens, Greece 1 INSERM U970 Team 7, Paris Cardiovascular Research Centre - PARCC, University Paris Descartes, AP-HP, Pharmacology Unit, Hôpital Européen Georges Pompidou, 56 Rue Leblanc, Paris 75015, France 11 Steno Diabetes Center Copenhagen, Clinical Research Department, Denmark 7 Department of Clinical & Experim |
| AuthorAffiliation_xml | – name: 10 Cardiology Department, Klinikum Wels-Grieskirchen, Wels, Austria – name: 4 Center for Health & Bioresources, Biomedical Systems, AIT Austrian Institute of Technology GmbH, Vienna, Austria – name: 9 First Cardiology Department, Athens Medical School, Hippokration Hospital, Athens, Greece – name: 11 Steno Diabetes Center Copenhagen, Clinical Research Department, Denmark – name: 1 INSERM U970 Team 7, Paris Cardiovascular Research Centre - PARCC, University Paris Descartes, AP-HP, Pharmacology Unit, Hôpital Européen Georges Pompidou, 56 Rue Leblanc, Paris 75015, France – name: 2 Department of Biomedical Engineering, CARIM School for Cardiovascular Diseases, Maastricht University, Maastricht, The Netherlands – name: 6 Faculty of Medicine, Lorraine University, Inserm, DCAC, Nancy, France – name: 5 MRC unit for Lifelong Health and Ageing, Institute of Cardiovascular Science, University College London, UK – name: 3 Department of Biomedical Engineering, School of Engineering & Applied Science, Yale University, New Haven, CT, USA – name: 7 Department of Clinical & Experimental Sciences, University, of Brescia-Medicina 2, ASST Spedali Civili Brescia, Brescia, Italy – name: 8 Department of Medicine, Brighton & Sussex Medical School, Brighton, UK |
| Author_xml | – sequence: 1 givenname: Rosa Maria orcidid: 0000-0002-6107-3356 surname: Bruno fullname: Bruno, Rosa Maria email: rosa-maria.bruno@inserm.fr organization: INSERM U970 Team 7, Paris Cardiovascular Research Centre - PARCC, University Paris Descartes, AP-HP, Pharmacology Unit, Hôpital Européen Georges Pompidou – sequence: 2 givenname: Bart orcidid: 0000-0003-1076-1922 surname: Spronck fullname: Spronck, Bart organization: Department of Biomedical Engineering, CARIM School for Cardiovascular Diseases, Maastricht University, Department of Biomedical Engineering, School of Engineering & Applied Science, Yale University – sequence: 3 givenname: Bernhard orcidid: 0000-0003-2048-1019 surname: Hametner fullname: Hametner, Bernhard organization: Center for Health & Bioresources, Biomedical Systems, AIT Austrian Institute of Technology GmbH – sequence: 4 givenname: Alun orcidid: 0000-0001-5432-5271 surname: Hughes fullname: Hughes, Alun organization: MRC unit for Lifelong Health and Ageing, Institute of Cardiovascular Science, University College – sequence: 5 givenname: Patrick orcidid: 0000-0002-2938-1383 surname: Lacolley fullname: Lacolley, Patrick organization: Faculty of Medicine, Lorraine University, Inserm, DCAC – sequence: 6 givenname: Christopher C. orcidid: 0000-0002-5612-5481 surname: Mayer fullname: Mayer, Christopher C. organization: Center for Health & Bioresources, Biomedical Systems, AIT Austrian Institute of Technology GmbH – sequence: 7 givenname: Maria Lorenza orcidid: 0000-0002-4007-9441 surname: Muiesan fullname: Muiesan, Maria Lorenza organization: Department of Clinical & Experimental Sciences, University of Brescia-Medicina 2, ASST Spedali Civili Brescia – sequence: 8 givenname: Chakravarthi orcidid: 0000-0002-6240-5121 surname: Rajkumar fullname: Rajkumar, Chakravarthi organization: Department of Medicine, Brighton & Sussex Medical School – sequence: 9 givenname: Dimitrios orcidid: 0000-0003-4039-8263 surname: Terentes-Printzios fullname: Terentes-Printzios, Dimitrios organization: First Cardiology Department, Athens Medical School, Hippokration Hospital – sequence: 10 givenname: Thomas orcidid: 0000-0003-0617-0417 surname: Weber fullname: Weber, Thomas organization: Cardiology Department, Klinikum Wels-Grieskirchen – sequence: 11 givenname: Tine Willum orcidid: 0000-0003-2274-0352 surname: Hansen fullname: Hansen, Tine Willum organization: Steno Diabetes Center Copenhagen, Clinical Research Department – sequence: 12 givenname: Pierre orcidid: 0000-0002-4375-3569 surname: Boutouyrie fullname: Boutouyrie, Pierre organization: INSERM U970 Team 7, Paris Cardiovascular Research Centre - PARCC, University Paris Descartes, AP-HP, Pharmacology Unit, Hôpital Européen Georges Pompidou |
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