Research approaches Circulatory Health

The Circulatory Health Research Center is dedicated to advancing the understanding and treatment of cardiovascular health through a comprehensive approach that targets four specific patient groups.

This effort is underpinned by eight cutting-edge research approaches:

  1. Cardiovascular Imaging: Employing advanced imaging techniques to visualize the heart and blood vessels, aiding in accurate diagnosis and monitoring of cardiovascular diseases.
  2. Clinical Epidemiology and Trials: Conducting large-scale population studies and clinical trials to identify risk factors, evaluate interventions, and establish evidence-based practices for better patient outcomes.
  3. Data Science & AI: Leveraging big data and artificial intelligence to analyze vast datasets, predict disease patterns, and personalize treatment plans.
  4. Disease Modelling: Developing computational and physical models to simulate cardiovascular conditions, enhancing the understanding of disease mechanisms and treatment effects.
  5. Genomics: Exploring the genetic underpinnings of cardiovascular diseases to discover new biomarkers and therapeutic targets.
  6. Health Equity and Diversity: Ensuring research encompasses diverse populations to address disparities and promote health equity.
  7. Local Drug Delivery: Innovating targeted drug delivery systems to enhance efficacy and reduce the side effects of cardiovascular treatments.
  8. Prevention: Designing and implementing strategies to prevent the onset and progression of cardiovascular diseases through lifestyle interventions, education, and early detection.

Cardiovascular Imaging & Image Guided Therapies 

The newly opened heart catherisation room in WKZ

This research approach aims to provide top-tier imaging services for cardiovascular patients by using guideline-recommended, state-of-the-art methods and developing new clinical imaging techniques. The focus includes common and rare cardiovascular diseases, as UMC Utrecht is a tertiary referral center. These diseases include ischemic and non-ischemic cardiomyopathies, congenital heart disease, heart failure, aorta issues, complex peripheral arterial disease, brain aneurysms, strokes, and interactions between the heart, brain, and bones. Additionally, groups with high cardiovascular risk, such as women with reproductive disorders and healthy athletes, are studied. Emphasis is placed on creating fast, reliable, and comprehensive imaging methods, particularly new cardiac and vascular CT and MR imaging techniques and post-processing methods, to bring these advancements to clinical use.

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Clinical Epidemiology & Trials

Cardiovascular clinical epidemiology focuses on early recognition, prevention, and treatment of heart failure, stroke, heart attack, aneurysms, peripheral arterial disease and risk factors for cardiovascular diseases. The aim is to delay vascular aging and reduce the burden of cardiovascular diseases.

Our research follows the DEPTh approach: Diagnosis, Etiology, Prognosis, and Therapy. We utilize a wide range of statistical and epidemiological study designs, including multi-center randomized controlled trials, cohort studies, case-control, and cross-sectional studies. Collaboration with various disciplines within the Circulatory Health community is integral to our work.

This approach also promotes clinical trials to efficiently translate experimental research into patient therapies while ensuring quality and safety. Trial designs include Trials within Cohorts (TwiCs), register-based trials, and adaptive trials. First point of contact for trial design and collaboration with the U-TRIAL team is Mira Zuidgeest.

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Data Science & AI

Data, artificial intelligence and digital technology drive innovation in science. They make it possible to offer personalized care, both from a medical perspective and in terms of location. Data Science is going to have a huge impact on tomorrow’s healthcare. This science uses techniques, theories and models derived from different disciplines within the broad field of mathematics, statistics, information science and computer sciences. Machine learning, classification, cluster analysis, data and text mining, databases and visualization are of particular interest. The overall aim of Data Science is to extract scientific knowledge and insights from (both structured and unstructured) data and to apply this knowledge with impact in healthcare.

Disease Modelling

Disease Modelling looks at the underlying mechanisms of various cardiovascular diseases. Incorporating a combination of technology and biology, we design therapeutic and regenerative treatment strategies.

Genomics

Digital screen with DNA strands and sequencing ATGC data background. Double helix structure. Nucleic acid sequence. Genetic research. 3d illustration.

Cardiovascular genomics is the study of how genetic variations influence cardiovascular health and disease. It focuses on identifying genes associated with heart conditions like genetic cardiomyopathy,   coronary artery disease, heart failure, and arrhythmias. By analyzing genetic information, researchers can uncover the underlying mechanisms of these diseases. This field aims to personalize medicine by linking genetic profiles to specific cardiovascular risks and treatment responses. Cardiovascular genomics also helps in the discovery of new drug targets and therapeutic approaches. It supports early diagnosis and the development of tailored prevention strategies. Integration of genomic data with clinical practice holds promise for improving patient outcomes. Advances in this field continue to enhance our understanding of cardiovascular health at a molecular level.

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Health Equity & Diversity

Through international recognition and social embedding, this research approach contributes to improving the health of patients with cardiovascular disease, with an important focus on women and non-Western populations.

Global Cardiovascular Health focuses on the improvement of health around the world and reduction of health disparities between countries and populations. The goal is (1) to promote cardiovascular health, equality in health and well-being worldwide by generating the best evidence in order to guide health decision-making; (2) to bridge epidemiology and public health; and (3) to build high impact global cardiovascular health research capacity.

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Local Drug Delivery

Local drug delivery refers to the administration of medications directly to a specific target site within the body, typically in close proximity to the area where the drug is needed. This method allows for a higher concentration of the drug to be delivered to the desired site while minimizing systemic exposure and potential side effects in other parts of the body.

Local drug delivery offers several advantages over systemic drug administration, including improved drug efficacy, reduced systemic side effects, and the ability to achieve therapeutic concentrations at the target site. Additionally, it can be particularly beneficial for treating conditions that are localized or difficult to reach using traditional oral or intravenous routes of administration.

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Prevention

Woman on fitness equipment

The research approach Cardiovascular prevention focuses on identifying strategies to reduce the risk of cardiovascular diseases before they develop. This approach includes studying lifestyle modifications, dietary changes, and medical interventions that can prevent conditions such as stroke, arterial calcification and heart failure. By analyzing risk factors and implementing early interventions, the goal is to improve overall cardiovascular health and reduce disease incidence in at-risk populations.

From a public health perspective, this approach emphasizes broad, population-based interventions such as promoting healthy lifestyles, improving dietary habits, and increasing access to preventive care. By targeting modifiable risk factors and implementing early interventions, the goal is to enhance overall cardiovascular health and reduce disease incidence across communities, ultimately decreasing healthcare costs and improving quality of life on a large scale.

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