To study the effects of higher dose adenosine on intermediate coronary lesions at coronary angiography which require pressure wire study.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Any patient listed for pressure wire study of a moderate coronary artery lesion Any patient attending for coronary angiography +/- proceed who is found to have a moderate lesion considered to require pressure wire assessment. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Any patient who is unable or unwilling to give full informed consent. Patients with a contraindication to the administration of adenosine: Patients with a history of allergy or previous adverse reaction to administration of adenosine Second or third degree AV block, sick sinus syndrome (except in patients with a permanent pacemaker) Long QT syndrome Wolff Parkinson White Syndrome Severe hypotension (SBP <90) Unstable angina not successfully stabilised with medical therapy Decompensated heart failure Severe asthma Patients taking dipyridamole Patients taking theophylline / aminophylline therapy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: to measure the drop in FFR with higher infusion rates (180micrograms/kg/min and 200 micrograms/kg/min) of adenosine; Secondary Objective: 1. To assess the safety of high dose adenosine as measured by the degree of alteration of heart rate, PR interval, QT interval and arterial blood pressure (SBP, MAP, DBP) in response to each dose. 2. To assess teh degree of patient tolerability of teh two higher doses of adenosine as measured by early discontinuation of drug at patient request. ;Primary end point(s): The primary endpoint point is the difference in FFR with the different doses of adenosine. We aim to recruit 60 patients in order to have an 80%-90% confidence interval to detect a change of 0.03 of FFR. | — |
Countries
United Kingdom