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ACTIVE NOT RECRUITING
NCT05446779

Postmortem Evaluation of Adrenal and Other Endocrine Tumors in Patients With Sudden Death

Sponsor: Helsinki University Central Hospital

View on ClinicalTrials.gov

Summary

Sudden Cardiac Death is a leading cause of mortality and remains a major public health burden worldwide. Cardiac arrest due to coronary heart disease explains a large proportion of the cases, but if autopsy is not performed the exact underlying cause remains obscure in many adults who face sudden death outside heath care organizations. The investigators aim to find proof that primary aldosteronism is a risk factor for sudden death and to characterize the prevalence of adrenal pathology in sudden death of undetermined cause in a case-control study. In addition, the study aims to characterize the prevalence of other adrenal pathology i.e. silent adenomas, cortisol-producing adenomas and pheochromocytomas in sudden death. The investigators also seek evidence that other endocrine hormone overproduction-causing diseases are more prevalent in persons with sudden death compared with those experiencing traumatic or suicidal death sudden death.

Official title: Postmortem Evaluation of Adrenal and Other Endocrine Tumors in Patients With Sudden Death Without Definitive Causative Diagnosis (PEA-SuddenDeath)

Key Details

Gender

All

Age Range

35 Years - 70 Years

Study Type

OBSERVATIONAL

Enrollment

400

Start Date

2022-02-03

Completion Date

2026-12-31

Last Updated

2024-04-16

Healthy Volunteers

No

Interventions

DIAGNOSTIC_TEST

Adrenal aldosterone synthase (CYP11B2) staining

Immunoshistochemical diagnosis of primary aldosteronism

DIAGNOSTIC_TEST

Adrenal cortisol synthase (CYP11B1) staining

Immunoshistochemical diagnosis of adrenal hypercortisolism

DIAGNOSTIC_TEST

Histopathological analysis

Diagnosis of any endocrine neoplasia other than primary aldosteronism or adrenal hypercortisolism

Locations (1)

Endocrinology, Helsinki University Hospital and University of Helsinki

Helsinki, Finland