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Cardiovascular Disease Progression in Survivors of Community Acquired Pneumonia and Lung Infection by Covid-19.
Sponsor: Hellenic Institute for the Study of Sepsis
Summary
Pneumonia, which can be acquired in the community (including influenza and COVID-19), is a leading cause of mortality. The risk of severe cardiovascular diseases events (stroke, myocardial infarction, pulmonary embolism) increases after infections, but causal mechanisms are not understood yet. There is an essential need for improved understanding of the relationship between pneumonia and cardiovascular diseases and early identification of patients at risk of cardiovascular events to develop tailored therapies. The overall concept underpinning "Homi-lung" is to investigate the time course of host-microbiome interactions during \& after pneumonia to i) understand the causal relationship between trained immunity, microbiome dysbiosis and cardiovascular and respiratory diseases (CVRD) progressions, ii) define endotypes of pneumonia associated with response to treatment \& CVRD history; iii) develop biomarkers to predict the individual response to the treatment \& CVRD progression, and iv) preclinically validate therapeutical approaches for CVRD during \& after pneumonia.
Official title: A Non-interventional, Prospective, Cross-sectional Study of Cardiovascular Disease Progression in Survivors of Community Acquired Pneumonia and Lung Infection by Sars-Cov-2
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
OBSERVATIONAL
Enrollment
650
Start Date
2024-11-08
Completion Date
2028-06-08
Last Updated
2026-02-17
Healthy Volunteers
Yes
Interventions
Blood samples and Oropharyngeal swab
Blood samples: EDTA-plasma (proteome, metabolome and lipidome) and PBMCs (transcriptome, epigenome, immune-phenotype and genetic polymorphism)
Six-minute walk test, Spirometry, ECG, Heart ultrasound and cardiopulmonary exercise stress testing, Completion of questionnaires of symptoms
* Spirometry for forced expiratory volume in the first, second, total lung capacity and diffusion capacity of carbon monoxide. * ECG, Heart ultrasound and cardiopulmonary exercise stress testing: * NYHA * Rhythm or conduction abnormality (yes/no) * Left ventricular ejection fraction (%) * VO2Max
Locations (17)
2nd Department of Internal Medicine, University General Hospital of Alexandroupolis
Alexandroupoli, Greece
10th Department of Pulmonary Medicine, Sotiria Athens Hospital of Chest Diseases
Athens, Greece
1st Department of Internal Medicine, General Hospital of Athens G. GENNIMATAS
Athens, Greece
1st Department of Internal Medicine, General Hospital of Athens KORGIALENIO-BENAKIO E.E.S.
Athens, Greece
1st Department of Internal Medicine, General Hospital of Voula ASKLEPIEIO
Athens, Greece
1st Intensive Care Clinic of the Medical School of the University of Athens, Evangelismos General Hospital
Athens, Greece
1st University Department of Internal Medicine, General Hospital of Athens LAIKO
Athens, Greece
1st University Department of Pulmonary Medicine, Sotiria Athens Hospital of Chest Diseases
Athens, Greece
2nd Department of Pulmonary Medicine, Sotiria Athens Hospital of Chest Diseases
Athens, Greece
3rd University Department of Internal Medicine, Sotiria Athens Hospital of Chest Diseases
Athens, Greece
4th Department of Internal Medicine, ATTIKON University General Hospital
Athens, Greece
Intensive Care Unit, General Hospital of Voula ASKLEPIEIO
Athens, Greece
Out-patients clinic, General Hospital of Voula ASKLEPIEIO
Athens, Greece
1st Department of Internal Medicine, Thriasio General Hospital of Elefsina
Elefsina, Greece
1st Department of Internal Medicine, AHEPA University General Hospital of Thessaloniki
Thessaloniki, Greece
Intensive Care Unit 2, AHEPA University General Hospital of Thessaloniki
Thessaloniki, Greece
Intensive Care Unit, "Ippokrateion" General Hospital of Thessaloniki
Thessaloniki, Greece