Coronary Artery Disease
Conditions
Keywords
Coronary artery disease, PCI, Postconditioning, Elective or urgent PCI
Brief summary
Angioplasty is a commonly performed procedure for treating blockage of the blood vessels in the heart. Although this procedure is usually successful, it is often accompanied by a small degree of damage to the heart (i.e., small heart attack). The purpose of this study is to find out if inflating a blood pressure cuff on the arm or the leg at the time of angioplasty for several minutes has a beneficial effect. Patients will be assigned to one of three treatment groups: inflating blood pressure cuff on the arm, inflating blood pressure cuff on the leg and a control group.
Interventions
Three 5- minute cycles of blood pressure cuff inflation according to the assigned group. The cuff is inflated to 200 mm Hg (and at least 20 mmHg above the systolic blood pressure) for 5 minutes followed by a 5-minute deflation (reperfusion).
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients scheduled for PCI
Exclusion criteria
* Acute myocardial infarction * Myocardial infarction or coronary bypass surgery during the last 4 weeks before PCI * Use of Glyburide * Heart failure (NYHA III/IV) * Chronic inflammatory disease * Severe renal impairment * Significant peripheral vascular disease * Unsuitable for use of an embolic protection device for PCI to SVG
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Myocardial injury after PCI. | 24 hours |
Secondary
| Measure | Time frame |
|---|---|
| To study the effects of different degrees of remote ischemic postconditioning on myocardial necrosis and inflammation following PCI. | 24 hours |
| Platelet function | 24 hours |
| Cardiac events | One year |
Countries
Canada