Determining the Benefits of Exercise on Cardiovascular Risk in PTSD
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Exercise.
- Who it may be relevant to
- Registry conditions: PTSD, Cardiovascular Disease, Cardiovascular Disease Risk Factors. Basic parameters: 18 years — 65 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
Using Advanced Imaging to Determine the Benefits of Exercise on Cardiovascular Risk in PTSD
Overview
The purpose of this study is to use a non-invasive imaging technique called positron emission tomography/magnetic resonance imaging (PET/MRI) to investigate the effects of exercise on brain activity and arterial (blood vessel) inflammation in people with PTSD symptoms and evidence of or elevated risk for artery disease.
Interventions
- Behavioral Exercise
The exercise program will consist of specifically designed activities to place a gradually increasing workload on the cardiovascular system.
Primary outcome measures
- Heart rate [Time frame: Pre-treatment; Post-treatment (12-16 weeks after pre-treatment visit)]
- Blood pressure [Time frame: Pre-treatment; Post-treatment (12-16 weeks after pre-treatment visit)]
- Heart rate variability [Time frame: Pre-treatment; Post-treatment (12-16 weeks after pre-treatment visit)]
- Arterial inflammation [Time frame: Pre-treatment; Post-treatment (12-16 weeks after pre-treatment visit)]
- Bone marrow inflammation [Time frame: Pre-treatment; Post-treatment (12-16 weeks after pre-treatment visit)]
Eligibility criteria
Inclusion criteria
- Age 18-65 years
- Trauma exposure
- PTSD symptoms
- Subclinical atherosclerotic CVD (e.g., coronary, cerebrovascular, or peripheral arterial plaque or calcifications on imaging), clinical atherosclerotic CVD (e.g., myocardial infarction or revascularization), or increased risk for atherosclerotic CVD (i.e., >2 of hypertension, diabetes mellitus, hyperlipidemia, and active smoking)
- Ability to understand and sign informed consent
Exclusion criteria
- History of stroke, brain surgery, or seizure
- Use of certain CVD medications (e.g., beta-blockers, high-intensity statins \[e.g., rosuvastatin 20/40 mg and atorvastatin 40/80 mg\], PCSK-9 inhibitors)
- Psychiatric or cardiovascular medication change within 4 weeks (i.e., stable regimen is allowed)
- Unstable blood pressure or cardiac arrhythmia
- Currently in a supervised or graduated exercise program
- Neurological or systemic inflammatory disease/current systemic anti-inflammatory therapy
- Moderate/severe alcohol/substance use disorder
- Current mania/psychosis
- Weight >300 lbs.
- Claustrophobia
- Pregnancy
- Metal implants
- Uncontrolled hyperglycemia (HgbA1c>7.5%)
- Subjects who have had significant radiation exposure as part of research (>2 nuclear tests, computed tomography images, or fluoroscopic procedures) during the preceding 12-months
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- N/A
- Model
- Single group
- Masking
- Open label
- Primary purpose
- Treatment
Study locations
United States · 1 center
- Massachusetts General Hospital — Boston
Identifiers
NCT: NCT07260032 · 2024P003032