Influence of Air Quality on the Development and Progression of Premature Coronary Artery Disease

NCT ID: NCT06464042

Last Updated: 2024-06-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Total Enrollment

4272 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-05-23

Study Completion Date

2025-07-01

Brief Summary

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The new global guidelines from the World Health Organization on air quality provide evidence of the damage that air pollution inflicts on human health at even lower concentrations than previously thought. Different studies have shown an increase in the incidence of coronary artery disease (CAD) in young people in recent decades. The main objective of this project is to study the impact of environmental pollutants on the premature manifestation of CAD from different epidemiological approaches and their impact on the evolution of these patients with a gender perspective. It is a retrospective analytical case-control study nested in a cohort of patients ≤40 years old with a clinical history of CAD including: ST-segment elevation myocardial infarction, non-ST-segment elevation acute coronary syndrome, unstable angina, stable angina or silent angina according to the international classification of diseases.

Detailed Description

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Conditions

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Coronary Artery Disease Premature Angina, Stable Acute Coronary Syndrome MINOCA Myocardial Infarction

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

RETROSPECTIVE

Study Groups

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Premature Coronary Artery Disease

Patients between 18 and 40 years old diagnosed with coronary artery disease, including: ST-elevation myocardial infarction (STEMI), non-ST-elevation acute coronary syndrome (NSTE-ACS), unstable angina, stable angina, MINOCA or silent angina

No interventions assigned to this group

Non Coronary Artery Disease

Patient without coronary artery disease

For each case, 3 controls matched by age (±1 year), sex, postal code, and/or primary care center will be included. To avoid the selection of controls that could be associated with an overestimation of exposure to cardiovascular risk factors, the controls will be recruited from the preoperative unit and selected from subjects who have undergone minor clinical procedures (vasectomy, hernia repair, phimosis, prominent ear correction, tubal ligation, euthyroid thyroid nodule, plastic surgery, lipomas, vocal cord cysts, among others), or from the trauma service, selecting those attending for fractures or sprains. This approach ensures a complete medical history along with analytical values in their electronic medical records

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Women and men between 18 and 40 years old with a diagnosis of coronary artery disease coded in their medical records in Galicia


* Women and men between 18 and 40 years old with no diagnosis or history of CAD or other coronary disease coded in their medical records

Exclusion Criteria

* Not having a postal code and primary care center assigned in their medical records in Galicia

CONTROL


* Present with non-ischemic coronary diseas.
* Have a serious condition that affects or decreases life expectancy.
* Do not have a postal code or primary care center assigned in their medical records in Galicia
Minimum Eligible Age

18 Years

Maximum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fundacin Biomedica Galicia Sur

OTHER

Sponsor Role collaborator

Conselleria de Saúde Pública de Galicia

UNKNOWN

Sponsor Role collaborator

Conselleria de Medio Ambiente, Territorio e Vivenda de Galicia

UNKNOWN

Sponsor Role collaborator

pablo Juan-Salvadores

OTHER

Sponsor Role lead

Responsible Party

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pablo Juan-Salvadores

Principal Investigator

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Pablo Juan-Salvadores, Pharma, PhD

Role: PRINCIPAL_INVESTIGATOR

Instituto de Investigación Sanitaria Galicia Sur (IIS Galicia Sur)

Locations

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Hospital Álvaro Cunqueiro

Vigo, Pontevedra, Spain

Site Status RECRUITING

Countries

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Spain

Central Contacts

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Pablo Juan-Salvadores, Pharma, PhD

Role: CONTACT

+34986825564

Victor A Jiménez-Diaz, MD, MPH

Role: CONTACT

+34986825564

Facility Contacts

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Pablo Juan Salvadores, MPH,PhD

Role: primary

+34986825564

References

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Juan-Salvadores P, Veiga C, Jimenez Diaz VA, Guitian Gonzalez A, Iglesia Carreno C, Martinez Reglero C, Baz Alonso JA, Caamano Isorna F, Romo AI. Using Machine Learning Techniques to Predict MACE in Very Young Acute Coronary Syndrome Patients. Diagnostics (Basel). 2022 Feb 6;12(2):422. doi: 10.3390/diagnostics12020422.

Reference Type BACKGROUND
PMID: 35204511 (View on PubMed)

Juan-Salvadores P, Jimenez Diaz VA, Iglesia Carreno C, Guitian Gonzalez A, Veiga C, Martinez Reglero C, Baz Alonso JA, Caamano Isorna F, Iniguez Romo A. Coronary Artery Disease in Very Young Patients: Analysis of Risk Factors and Long-Term Follow-Up. J Cardiovasc Dev Dis. 2022 Mar 11;9(3):82. doi: 10.3390/jcdd9030082.

Reference Type BACKGROUND
PMID: 35323630 (View on PubMed)

Juan-Salvadores P, Jimenez Diaz VA, Rodriguez Gonzalez de Araujo A, Iglesia Carreno C, Guitian Gonzalez A, Veiga Garcia C, Baz Alonso JA, Caamano Isorna F, Iniguez Romo A. Clinical Features and Long-Term Outcomes in Very Young Patients with Myocardial Infarction with Non-Obstructive Coronary Arteries. J Interv Cardiol. 2022 Jul 30;2022:9584527. doi: 10.1155/2022/9584527. eCollection 2022.

Reference Type BACKGROUND
PMID: 35990214 (View on PubMed)

Chen R, Yin P, Meng X, Liu C, Wang L, Xu X, Ross JA, Tse LA, Zhao Z, Kan H, Zhou M. Fine Particulate Air Pollution and Daily Mortality. A Nationwide Analysis in 272 Chinese Cities. Am J Respir Crit Care Med. 2017 Jul 1;196(1):73-81. doi: 10.1164/rccm.201609-1862OC.

Reference Type RESULT
PMID: 28248546 (View on PubMed)

Orellano P, Reynoso J, Quaranta N, Bardach A, Ciapponi A. Short-term exposure to particulate matter (PM10 and PM2.5), nitrogen dioxide (NO2), and ozone (O3) and all-cause and cause-specific mortality: Systematic review and meta-analysis. Environ Int. 2020 Sep;142:105876. doi: 10.1016/j.envint.2020.105876. Epub 2020 Jun 23.

Reference Type RESULT
PMID: 32590284 (View on PubMed)

Kirwa K, Szpiro AA, Sheppard L, Sampson PD, Wang M, Keller JP, Young MT, Kim SY, Larson TV, Kaufman JD. Fine-Scale Air Pollution Models for Epidemiologic Research: Insights From Approaches Developed in the Multi-ethnic Study of Atherosclerosis and Air Pollution (MESA Air). Curr Environ Health Rep. 2021 Jun;8(2):113-126. doi: 10.1007/s40572-021-00310-y.

Reference Type RESULT
PMID: 34086258 (View on PubMed)

Chen SY, Hwang JS, Chan CC, Wu CF, Wu C, Su TC. Urban Air Pollution and Subclinical Atherosclerosis in Adolescents and Young Adults. J Adolesc Health. 2022 Aug;71(2):233-238. doi: 10.1016/j.jadohealth.2022.03.004. Epub 2022 May 7.

Reference Type RESULT
PMID: 35537887 (View on PubMed)

Related Links

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Other Identifiers

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SEC/FEC-INV-CLI 23/23

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

CI23-06

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

AirHeart Study

Identifier Type: -

Identifier Source: org_study_id

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