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Thread: Cardiac Disease and the Electro Cardiogram in SCI Patients

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  1. #1

    Cardiac Disease and the Electro Cardiogram in SCI Patients

    Cardiac Disease and the Electro Cardiogram in SCI Patients

    This study is currently recruiting patients.

    Sponsored by

    Department of Veterans Affairs

    Purpose

    The purpose of this three-year study is to determine the prevalence and incidence of the different types of cardiac disease and ECG abnormalities in SCI patients. Study goals are: (i) delineation of the specific types of heart disease that occur in the SCI population as manifested both pre-clinically and clinically and (ii) demonstration of their association with ECG findings. This will enable validation of scores and algorithms using the inexpensive and widely available ECG for the prevention of heart disease as well as it's early treatment and rehabilitation in SCI patients.

    The findings will be helpful in demonstrating what cardiological tests are appropriate for the mandated annual evaluation of SCI patients.


    Condition Treatment or Intervention Phase Spinal Cord Injury

    Procedure:Cardiac Disease

    Phase II

    MEDLINEplusrelated topics:SpinalCordInjuries

    Study Type:Observational
    Study Design:Screening,Longitudinal,Defined Population,Prospective Study

    Further Study Details:


    The purpose of this three-year study is to determine the prevalence and incidence of the different types of cardiac disease and ECG abnormalities in SCI patients seen at the PAVA SCIC and their association. Study goals include: i) delineation of the specific types of heart disease that occur in the SCI population as manifested both pre-clinically and clinically and ii) demonstration of their association with ECG findings. This will enable validation of scores and algorithms using the inexpensive and widely available ECG for the prevention of heart disease as well as it's early treatment and rehabilitation in SCI patients. Our findings will be helpful in demonstrating what cardiological tests are appropriate for the mandated annual evaluation of SCI patients.

    There are two components to this study:

    An outcomes component to complete information previously gathered in clinical and computerized databases of 800 SCI patients and a convenience sample of age-matched able-bodied veterans and perform a follow up for cardiac events.

    A screening component to identify pre-clinical disease will include Holter ECG recordings and echocardiograms on patients without symptoms or evidence for heart disease seen in the SCI center during the course of the study and age-matched able-bodied veterans.

    Hypothesis (a): The prevalence and incidence of cardiac diseases including coronary artery disease and cardiomyopathy will be higher in the SCI population than age-matched samples of the able-bodied population while valvular disease and arrhythmia will be similar. (b): The prevalence and incidence of cardiac disease in SCI individuals will be associated with level and completeness of injury (ie, higher occurrence in those with higher lesion levels and more complete injuries.) (c) The ECG will be helpful in SCI patients in early identification and secondary prevention of both ischemic and cardiomyopathic heart disease. (d) Continuous Holter ECG recordings or echocardiograms will only be indicated for screening specific SCI patients identified by clinical and electrocardiographic features.


    Eligibility

    Ages Eligible for Study: 18 Years and above , Genders Eligible for Study: Both

    Participants: Patients

    Criteria

    SCI patients

    Expected Total Enrollment: 800

    Location and Contact Information

    Victor Froelicher, M.D. (650) 493-5000 vicmd@aol.com

    California
    VAMC, Palo Alto,Palo Alto, California, United States;Recruiting

    Victor Froelicher, MD 650-493-5000

    Study chairs or principal investigators

    John Fryer, Ph.D. Asst. Director
    Deprtment of Veterans Affairs, Program Analysis and Review Section (PARS), Rehabilitation Research & Development Service Nancy Rocheleau, Program Analyst
    Department of Veterans Affairs, Program Analysis and Review Section (PARS), Rehabilitation Research & Development Service

    More Information

    Study ID Numbers B2140
    NLM Identifier NCT00013325

    Date study startedOctober 1999; Date Study Completed September 2002 Record last reviewed January 2001

  2. #2

    SOS

    these people are truly pathetic

  3. #3
    Senior Member KLD's Avatar
    Join Date
    Jul 2001
    Location
    California
    Posts
    866

    Problem?

    Tvot, I am not sure the meaning of your comment. It is well recognized that people with SCI have a higher risk of heart disease, and at an earlier age than those who are AB. Cardiac disease is more disabling in those with SCI than in ABs. It is now one of the top 3 causes of death in persons with SCI. This study has the potential to provide significant information about this condition in persons with SCI and how to possibly prevent it.

  4. #4

    Yes I Do

    It's more studies of how the SCI'ed ticks.
    Years and years of this bullshit, the Department of veteran affairs has always funded this nonsense. 90% studies of how to stay paralyzed and 10% for cure, they will never change.
    I wrote to their department some 15 years ago look for information on cure.
    They sent me back a stack of paper that basically said I'll be dying soon, it scared the hell out of me.

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