Vasospastic Angina Pectoris
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients with coronary vasospasm, and categorized at least one of following 2 conditions 1)patients who is positive of ischemic ST-segment change when chest pain appears at rest, or patients who is negative with exercise test. 2)Patients with coronary vasospasm and show ischemic ST-segment change on electrocardiogram by selective acetylcholine or ergonovine -loading test
Exclusion criteria
Exclusion criteria: 1. patients who have organic coronary narrowing only but don't have coronary vasospasm 2. patient with acute myocardial infarction (within one month) 3. diabetes mellitus patients with poorly-controlled glycemia 4. severe hypertensive patients(>=180/>=110mmHg) 5. patients who is not able to administrate dihydropyridine calcium channel blockers 6. Patients who is not allowed to enroll the trial by doctor
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. comparison the numbers of episode(times/week) or the consumption of the short-acting nitrates (tablets/week) between before and after of treatment 2. Efficacy rate: Evaluate 2 treatment groups each by following five degree. 1) well improved, 2) improved, 3) less improved, 4) no change, 5) deterioration, 6) impossible to judge, after consideration following subjects, such as number and severity of episodes, consumption of short-acting nitrates, and total impression, together in each group. 3. Improvement of 24 hours electrocardiogram: (When the measurement was carried out in an institution) Evaluate 2 treatment groups each by following 3 degree. 1) improved, 2) no change, 3) deterioration, 4) impossible to judge, after consideration following subjects, such as number of ST rising, maximum degree of ST rising, or continuance time of ST rising, together in each group. 4. entire improvement: after consideration of #2 and #3, evaluate both treatment groups by following five degrees, and compare both groups 1) well improved, 2) improved, 3) less improved, 4) no change, 5) deterioration, 6) impossible to judge 5. About above end-points of #1 to #4, compare both treatment groups according to a patient background | — |
Countries
Japan
Contacts
The Cardiovascular Institute Department of Cardiovascular Medicine