Microvascular Angina
Conditions
Keywords
Ticagrelor, Coronary Flow Reserve
Brief summary
This study is undertaken to determine if ticagrelor augments adenosine-induced coronary flow reserve (CFR), ameliorates clinical symptomatology and exercise tolerance in patients with MVA
Detailed description
Considering the reduced CFR and increased platelet aggregability in patients with MVA, together with the augmented effect on adenosine-mediated coronary blood flow and potent antiplatelet effect of ticagrelor, we speculate that ticagrelor can promisingly ameliorate the coronary microvascular function in patients with MVA.
Interventions
compare the effect of ticagrelor and control on the Coronary Flow Reserve in patients with microvessel angian
Sponsors
Study design
Eligibility
Inclusion criteria
For inclusion in the study subjects should fulfill the following criteria: 1. Provision of informed consent prior to any study specific procedures 2. Female or male aged 18-80 years 3. A diagnosis of stable primary MVA based on the presence of * a history of typical effort angina, * exercise-induced ST-segment depression\>1 mm, * normal or near-normal (coronary artery stenosis\<50%) coronary angiography, * absence vasospastic angina * a coronary flow reserve (CFR) \<2.5 in the left anterior descending coronary artery as assessed by coronary blood flow (CBF) response to adenosine at transthoracic Doppler echocardiography * suboptimal control of symptoms on conventional anti-ischemic therapy, as indicated by the occurrence of \>1 episode per week of angina
Exclusion criteria
ubjects should not enter the study if any of the following
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| adenosine-induced coronary flow reserve (CFR) | 2 months |