Determining the Benefits of Exercise on Cardiovascular Risk in PTSD
Purpose
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.
Conditions
- PTSD
- Cardiovascular Disease
- Cardiovascular Disease Risk Factors
Eligibility
- Eligible Ages
- Between 18 Years and 65 Years
- Eligible Sex
- All
- Accepts Healthy Volunteers
- No
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
Study Design
- Phase
- N/A
- Study Type
- Interventional
- Allocation
- N/A
- Intervention Model
- Single Group Assignment
- Primary Purpose
- Treatment
- Masking
- None (Open Label)
Arm Groups
| Arm | Description | Assigned Intervention |
|---|---|---|
|
Other Exercise |
|
Recruiting Locations
Massachusetts General Hospital
Boston 4930956, Massachusetts 6254926 02114
Boston 4930956, Massachusetts 6254926 02114
More Details
- Status
- Recruiting
- Sponsor
- Massachusetts General Hospital