vasospastic angina
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Patients who planned to undergo ACh provocation test 2) Patients who discontinue coronary dilator >48 hours before ACh provocation test
Exclusion criteria
Exclusion criteria: 1) Patients with hemodialysis 2) Patients with severe hepatic disorder 3) Patients with severe heart failure (ejection fraction <30% or NYHA >class 3) 4) Patients with prior coronary intervention for left anterior descending artery
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Comparison of the index of microcirculatory resistance (IMR) between patients with positive acetylcholine (ACh) provocation test and those with negative | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) Coronary flow reserve (CFR) in patients with positive or negative ACh provocation test 2) Relation between chest symptom and IMR or CFR 3) Relation between IMR or CFR and chest symptom in patients with negative ACh provocation test 4) IMR, CFR and mean transit time (MTT) which indicate coronary epicardial or microvascular spasm 5) Relation between reactive hyperemia index (RHI) and IMR, CFR, MTT, or positivity of ACh provocation test 6) Relation between RHI and chest symptom | — |
Countries
Japan
Contacts
Chiba University Hospital Department of Cardiovascular Medicine