Variant Angina
Conditions
Keywords
Vasospasm, Sarpogrelate, Statin
Brief summary
The aim of the study was to to evaluate the effect of sarpogrelate, a selective serotonin receptor antagonist, and high dose statin on the reduction of coronary spasm in the patients with variant angina.
Interventions
Sarpogrelate 100mg twice a day
Atorvastatin 80mg daily
Sponsors
Study design
Eligibility
Inclusion criteria
* Clinical history of chest pain compatible with variant angina; morning chest pain aggravated by cold exposure. * Angiographically proven coronary spasm; TIMI flow \< 3 by spontaneous coronary spasm or intracoronary ergonovine spasm provocation test.
Exclusion criteria
* Cardiac arrest by coronary spasm * Left main coronary spasm * Significant fixed coronary artery stenosis; Diameter stenosis \> 70% in the major epicardial artery by coronary angiography * Left ventricular ejection fraction \< 30% * Coagulation disorders or bleeding tendency (Platelet count \< 50k, PT INR \> 2.0) * Significant liver disease (AST or ALT \> 100 U/ml) * Renal failure (S-Cr \> 2.0 mg/dl) * hypersensitivity for statin * Pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Ergonovine provocation test 12months later | 1 year later |
Secondary
| Measure | Time frame |
|---|---|
| C-reactive protein lever 12months later | 1 year |
Countries
South Korea