Ischemic heart disease
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Satisfy the all conditions below. (1)After successful coronary stenting(target lesion stenosis<20%). (2)Written informed consent for this study. (3)Possible to undertake 6-8 month follow-up coronary angiography at our institutions. (4)Over 20 years old, male and female.
Exclusion criteria
Exclusion criteria: Statisfy even one of the conditions below. (1)Not completed all planned PCI. (2)Participant of other clinical trial interfering with this study. (3)Chronic dialysis, chronic liver cirrhosis. (4)Severely impaired LV function, EF<30%. (5)Contraindication for statins or ezetimibe.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Target Vessel Dysfunction, 6-8 months after coronary stenting. Definition of Target Vessel Dysfunction(TVD) is a composite end point, target vessel-related cardiac death and target vessel-related myocardial infarction and ischemia-driven target vessel revascularization (TVF, Target Vessel Failure) and coronary endotherial dysfunction (positive for Acetylcholine provocation test performed, if no TVF). | — |
Secondary
| Measure | Time frame |
|---|---|
| (1) Clinical course Target Vessel Failure, all cause death, cardiovascular death, cardiac death, coronary artery disease death, resuscitated cardiac arrest, myocardial infarction (MI), non-fatal MI, procedure related MI, non-procedure related MI, revascularization for coronary artery disease, binary restenosis, Canadian Cardiovascular Society Scale and revascularization for peripheral arterial disease (2) Coronary arterial endotherial function, Peripheral arterial endotherial function coronary arterial endotherial dysfunction (positive for Acetylcholine provocation test performed, if no TVF) Ach-related coronary arterial contraction/dilation endotherial function measured using Endo-PAT (FMD) (3) Surrogate markers oxidized cholesterol, oxidized LDL, oxidative stress (TBARS) lipid profile (T-Chol, TG, LDL, HDL, ApoB, ApoA1) inflammation marker (hCRP, MCP-1), adiponectine, ROCK activity, PAI-1 (4) Assessment of atherosclerosis coronary angiogram, in-stent late lumen loss, stenosis at non-target lesion IVUS. plaque volume, plaque phenotype PWV/ABI carotid ultrasound, IMT coronay CT angiogram, plaque volume, plaque phenotype, perfusion image, pericardial adipose tissue (5) Assessment of peripheral artery disease WIQ score, Treadmill test, ABI (6) Stratified analysis according to the type of stent and subgroup analysis according to the patient backgrounds and things listed above. (7) Clinical follow-up during 24 months after registration. | — |
Countries
Japan
Contacts
Kyushu University Graduate School of Medical Sciences Department of Cardiovascular Medicine