Ischemia with non obstructive coronary artery disease
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Age>18 years old; 2) Patients with symptoms related to myocardial ischemia, with coronary angiography or coronary CTA indicating that the diameter of each coronary artery stenosis is less than 50%; 3) DSPECT examination showed abnormal myocardial perfusion under load, with CFR<2.5; 4) The patient signs an informed consent form;
Exclusion criteria
Exclusion criteria: 1) Patients with severe heart failure who require intravenous administration of vasoactive drugs; 2) Uncontrolled blood pressure (SBP = 180 mmHg or DBP = 110 mmHg); 3) Patients with malignant arrhythmia, atrial fibrillation, and frequent premature beats; 4) Patients with concomitant heart valve disease or congenital heart disease who have not undergone surgical or interventional treatment to correct their deformities; 5) Patients with liver and kidney dysfunction, ALT exceeding 2 times the normal upper limit, and/or severe renal function impairment (defined as creatinine>100 or eGFR<30); 6) Concomitant with other causes of precordial pain (such as cholecystitis or gallstones, ulcer disease, reflux esophagitis or hiatal hernia, neurasthenia, etc.); 7) Previous history of myocardial infarction (MI) or percutaneous coronary intervention (PCI); 8) Myocardial bridge patients; 9) Individuals with a history of multiple drug allergies, allergic diseases, or allergic constitutions; 10) Alcoholics or drug users; 11) Patients with malignant tumors who are undergoing radiotherapy or chemotherapy; 12) Those who have experienced severe trauma or undergone major surgical procedures within the past month; 13) Pregnant or preparing pregnant or lactating women; 14) Those who have participated in other drug trials within 3 months; 15) Researchers believe that it is not suitable.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| coronary flow reserve; | — |
Secondary
| Measure | Time frame |
|---|---|
| MBF, PFR, EDV, ESV, LVEF, Phase analysis indicators;Seattle Angina Questionnaire, SAQ;Changes in cardiac function;6-minute walking test; | — |
Countries
China
Contacts
Gansu Provincial Hospital