Coronary Artery Disease
Conditions
Brief summary
COAT-platelets stands for collagen and thrombin stimulated platelets, which are two things in the body that make platelets stick together. These platelets may be important in the initiation of a heart attack (myocardial infarction). A chemical in the body called serotonin maybe responsible for COAT-platelet production. Paroxetine causes a significant reduction in platelet serotonin and therefore may have value in preventing heart attacks. Therefore, the current study is designed to determine whether paroxetine will decrease COAT-platelet production in normal volunteers and patients with cardiovascular disease.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* normal volunteers (without heart disease) * patients with heart disease * between ages 18 & 65
Exclusion criteria
* children less than 18 years * adults greater than 65 years * those who can not keep appointments * patients within 2 weeks of a coronary catheterization * patients within 6 months of unstable angina or myocardial infarction * individuals with allergies to paroxetine or similar medications * individuals having adverse events to paroxetine or similar medications * individuals with diagnosis of mania * individuals with a diagnosis of hypomania * individuals with a diagnosis of bipolar disorders * individuals with a diagnosis of depression * individuals with a diagnosis of panic disorders * individuals with a diagnosis of seizure disorders * individuals with a history of suicide attempts * individuals with a diagnosis of hyponatremia * individuals with active bleeding disorders * individuals with a diagnosis of narrow angle glaucoma * individuals with an estimated creatinine clearance of less that 30 ml/min * individuals taking potentially interacting medications
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To define the percent COAT-platelet and response to Paxil-CR in 5 control subjects. | — |
Secondary
| Measure | Time frame |
|---|---|
| To define the percent COAT-platelet and response to Paxil-CR in 20 patients with Coronary Artery Disease. | — |
Countries
United States