Ischemic Conditioning for Microvascular Resiliency in Frail Individuals

This study is looking at how small blood vessels respond to intense exercise in older adults (ages 65-85) and if a simple method called ischemic conditioning can protect these vessels. Ischemic conditioning involves briefly restricting blood flow to an arm using a blood pressure cuff. The study aims to see if this intervention can make your blood vessels more resilient to stress. Success will be measured by changes in how well your blood vessels widen (Acetylcholine-mediated dilation) and the density of perfused vessels after exercise. You cannot participate if you have had a heart attack recently, severe obesity, heart failure, uncontrolled high blood pressure, or other conditions that prevent high-intensity exercise or arm compression. The current status of this study is unclear.

Study design
This interventional study plans to enroll 60 participants who will be randomly assigned to either a Low or High Ischemic Conditioning group. The study design is randomized block.
What's involved
You will have 3 study visits. During these visits, you will undergo assessments for frailty and physical function, perform exercise tests, and have microvascular assessments. You will also take home a blood pressure cuff for home-based ischemic conditioning.
Compensation
Not stated in the trial record.
Follow-up
Changes in microvascular function will be measured at 0.5 hours and 2 hours after certain procedures.

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NCT05808686

Ischemic Conditioning to Promote Microvascular Resiliency in Frail Individuals

Recruiting
PHASE2Ages 65–85InterventionalTreatment
Medical College of Wisconsin
~60 participants
Updated 2025-09-23 on ClinicalTrials.gov
What's tested:Ischemic Conditioning

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Change in Acetylcholine-mediated dilation
Measured over 2 hours
+1 more outcome measured
Aging
Fragility
Endothelial Dysfunction
1 sites across 1 states
Wisconsin1

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Eligibility criteria

Inclusion

Women and men ages 65-85 years of age

Exclusion

Myocardial infarction in last 6 months
morbid obesity (BMI \>40)
heart failure
uncontrolled hypertension
other condition that precludes high intensity exercise (ex, neurological disorder, acute systemic infection)
history of blood clots in the extremities
any condition in which compression of the arm or transient ischemia is contraindicated (e.g., wounds in the arm).
  • Change in Acetylcholine-mediated dilation2 hours

    Cutaneous vascular conductance in response to acetylcholine infusion will be calculated as laser Doppler flux / mean arterial pressure

  • Change in Perfused Vessel Density0.5 hours

    Total vessel density (TVD) will be calculated using the DeBacker Score manual analysis on all images that have a minimum microcirculation image quality score (MIQS) of 10. Perfused vessel density (PVD) will be calculated by multiplying total vessel density (TVD) x proportion of perfused vessels (PPV%).