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A Study on the Use of the Valsalva Maneuver Electrocardiogram as an Alternative to Exercise Treadmill Test for Assisting in the Diagnosis of Coronary Heart Disease in the Elderly Population

A Study on the Use of the Valsalva Maneuver Electrocardiogram as an Alternative to Exercise Treadmill Test for Assisting in the Diagnosis of Coronary Heart Disease in the Elderly Population

Status
Recruiting
Phases
Unknown
Study type
Observational
Source
ChiCTR
Registry ID
ChiCTR2500102401
Enrollment
Unknown
Registered
2025-05-14
Start date
2022-01-06
Completion date
Unknown
Last updated
2025-05-19

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Coronary Heart Disease

Interventions

VM-ECG negative group:None
VM-ECG equivocal Group:None
VM-ECG positive Group:None

Sponsors

Ningbo No.2 Hospital
Lead Sponsor

Eligibility

Sex/Gender
All
Age
60 Years to 75 Years

Inclusion criteria

Inclusion criteria: 1. Patients with suspected CHD; 2. Age between 60 and 75 years; 3. Completion of ETT and VM-ECG under the supervision of researchers; 4. Ability to complete three examinations: ETT, VM-ECG, and coronary imaging (ICA or CTCA); 5. Completion of these three examinations within three weeks; 6. Approval by the ethics committee, written consent from participants and their legal representatives, and willingness to comply with the protocol.

Exclusion criteria

Exclusion criteria: 1. Severe Cardiovascular Diseases: Patients with acute coronary syndrome (ACS); Uncontrolled arrhythmia with symptoms or hemodynamic instability; Aortic dissection, severe aortic stenosis, hypertrophic obstructive cardiomyopathy (moderate to high risk), or other severe outflow tract obstructive heart disease; Acute myocarditis, pericarditis, endocarditis, or rheumatic fever; Symptomatic heart failure uncontrolled by treatment; Patients with a history of coronary stent placement or coronary artery bypass grafting (CABG). 2. Severe Pulmonary Diseases: Acute pulmonary embolism or pulmonary infarction; Severe pulmonary hypertension, pneumothorax, or pleural effusion. 3. Severe Hypertension (resting blood pressure >180/110 mmHg) or Significant Hypotension (<85/50 mmHg). 4. Ocular Diseases: Glaucoma, retinopathy, or high myopia. 5. Thrombotic Disorders: Lower limb venous thrombosis. 6. Pregnancy. 7. Severe Trauma, Femoral Hernia, Abdominal Effusion (Ascites), or Elevated Intra-abdominal Pressure. 8. Others: Skin allergy to electrocardiogram (ECG) electrodes; 9. Inability to Cooperate with Study Procedures due to any reason. 10. Investigator Deems the Participant Unsuitable for Continuation in the Study.

Design outcomes

Primary

MeasureTime frame
Exercise Treadmill Test Data;Valsalva Maneuver Electrocardiogram Data;Coronary Imaging Data;

Secondary

MeasureTime frame
Blood routine;Blood biochemical;Cardiac troponin;D-Dimer;Glycosylated hemoglobin;N-terminal pro brain natriuretic peptide (Blood);Cardiac ultrasound indicators;

Countries

China

Contacts

Public ContactYefei Zhan

Ningbo No.2 Hospital

zhancn@163.com+86 139 8930 3711

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026