RecruitingACTRN12617001483347

Coronary and Peripheral Haemodynamic Studies of Angina with Normal Coronary Arteries

Clinical and coronary haemodynamic determinants of recurrent chest pain in patients without obstructive coronary artery disease


Sponsor

University of Adelaide

Enrollment

100 participants

Start Date

Oct 8, 2013

Study Type

Observational

Conditions

Summary

About 20-30% of patients with angina have no obstructive coronary disease on coronary angiogram (NoCAD). Despite no significant obstructive CAD most of these patients continue to experience recurrent chest pain without any definitive diagnosis. Main aim of this study is to investigate patients with angina and NoCAD with a comprehensive invasive coronary and peripheral haemodynamic studies at the time of diagnostic coronary angiogram and to evaluate the prevalence of various vasomotor disorders in these patients. Further we aim to relate the results of testing to outcome by determining the clinical and coronary haemodynamic predictors of recurrent chest pain on one and 12 months follow up.


Eligibility

Sex: Both males and femalesMin Age: 18 YearssMax Age: 80 Yearss

Plain Language Summary

Simplified for easier understanding

This study is for people who have chest pain (angina) but whose coronary angiogram shows no significant blockages in the heart arteries. Researchers want to do a thorough set of heart and blood vessel tests to find the underlying cause — such as spasms or tiny vessel problems — and follow patients to see what affects their ongoing chest pain. You may be eligible if: - You are aged 18 to 80 - You have been diagnosed with angina - Your coronary angiogram showed normal or minimally narrowed arteries (less than 50% blockage) - You continue to experience chest pain You may NOT be eligible if: - You had an acute heart attack within the past month - You have had coronary bypass surgery (CABG) in the past - You have a pacemaker or defibrillator - You have severe kidney or liver disease, severe asthma, or poor heart pumping function - Your chest pain has a clear alternative explanation such as an obstructive blockage or coronary artery dissection - You have pulmonary hypertension, hypertrophic cardiomyopathy, or significant valve disease Talk to your doctor about whether this trial might be right for you.

This is a simplified summary. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

Patients with angina and no obstructive coronary disease on angiogram will undergo comprehensive invasive coronary haemodynamic studies at the time of diagnostic coronary angiogram to evaluate possibl

Patients with angina and no obstructive coronary disease on angiogram will undergo comprehensive invasive coronary haemodynamic studies at the time of diagnostic coronary angiogram to evaluate possible coronary disorder leading to patient's symptoms and then relating the testing results to outcome, which in this study is ongoing chest pain at one and 12 months follow up. Haemodynaamic studies will include the assessment of resting angiographic contrast flow, coronary microvascular hyperaemic function, coronary endothelial function and provocative coronary spasm testing. This comprehensive testing will add 30-45 minutes to the diagnostic coronary angiogram procedure.


Locations(1)

The Queen Elizabeth Hospital - Woodville

SA, Australia

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ACTRN12617001483347


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