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Vascular Function and Uterine Fibroids

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Mayo Clinic

关键词

抽象

The purpose of this study is to learn how uterine fibroids may be connected to heart disease and high blood pressure. It is not known what causes fibroids, but they frequently occur in women who also have high blood pressure, heart disease, and stroke. The investigators of this study want to learn if certain changes in the blood vessels or nerve activity can put women at risk for these diseases and for fibroids.

描述

The investigators are inviting women, 25-50 years old, who have not gone through menopause to participate in this study. The investigators are looking for some women with uterine fibroids and some without uterine fibroids based on ultrasound or MRI. If the patients have not had a recent ultrasound or MRI of the uterus, a physician can provide one.

Individuals cannot participate if they have high blood pressure, diabetes, or disease in the kidneys, lungs, or blood vessels. Also, individuals who smoke, have high cholesterol, or are obese (BMI is higher than 30) cannot participate. Certain medications, including high blood pressure medications, beta-blockers and anti-depressants, will also limit potential patient participation. The investigators would be happy to review medications for potential participants.

Screen Day:

One of the members of the research team will review the study and the informed consent document with the patient. The patient will have their height, weight, blood pressure, pulse and respirations measured. The patient will also complete three questionnaires. If the patient has not had an ultrasound of the uterus in the last 12 months, a physician will complete one for her.

Study Day:

The patient will need to fast overnight (no eating or drinking). The investigators will draw a blood sample and then do a series of tests on the participant's blood vessels. For some of the tests, medication will be given through an IV. The investigators will also test nerve activity in the nerve on the outer aspect of the leg.

日期

最后验证: 02/28/2018
首次提交: 04/15/2014
提交的预估入学人数: 04/23/2014
首次发布: 04/24/2014
上次提交的更新: 02/28/2018
最近更新发布: 03/01/2018
实际学习开始日期: 03/31/2013
预计主要完成日期: 02/28/2018
预计完成日期: 02/28/2018

状况或疾病

Leiomyoma

干预/治疗

Device: Brachial artery catheter

Drug: Acetylcholine

Drug: Nitroprusside

Drug: Norepinephrine

Drug: Nitroprusside and phenylephrine

-

手臂组

干预/治疗
Women with uterine fibroids
Brachial artery catheter Acetylcholine Nitroprusside Norepinephrine Nitroprusside and phenylephrine
Women without uterine fibroids
Brachial artery catheter Acetylcholine Nitroprusside Norepinephrine Nitroprusside and phenylephrine

资格标准

有资格学习的年龄 25 Years 至 25 Years
有资格学习的性别Female
取样方式Non-Probability Sample
接受健康志愿者
标准

Inclusion Criteria:

- Women 25-50 years old

- Premenopausal

Exclusion Criteria:

- Postmenopausal

- Pregnant or currently breastfeeding

- Using blood pressure medications or anti-depression medications

- High blood pressure

- Diabetes

- Disease in the kidneys, lungs, or blood vessels

- Chronic diseases (for example: Crohn's disease, rheumatoid arthritis, bipolar mood disorder, etc.)

- Smoker

- High cholesterol

- BMI higher than 30

结果

主要结果指标

1. Baseline systolic, diastolic, and mean blood pressures [One day (study day)]

2. Baseline sympathetic nerve activity [One day (study day)]

Nerve "burst" activity will be measured across 10 minutes.

次要成果指标

1. Changes in forearm blood flow levels in response to acetylcholine infusion [One day (study day)]

2. Changes in forearm blood flow levels in response to nitroprusside infusion [One day (study day)]

3. Changes in forearm blood flow levels in response to norepinephrine infusion [One day (study day)]

4. Change in blood pressure in response to infusions of nitroprusside and phenylephrine [One day (study)]

An infusion of nitroprusside will be given, followed by an infusion of phenylephrine one minute later.

5. Pulse wave velocity (an index of vessel stiffness) [One day (study day)]

其他成果措施

1. Female sex hormone levels [One day (study day)]

Blood samples will be collected to measure levels of estrogen and progesterone.

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