atherosclerosis coronary artery disease
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: In order to be eligible to participate in this study, a subject must meet all of the following criteria: 18 years or older & scheduled for CAG/PCI for stable angina pectoris & with documentation of an abnormal peripheral FMD-measurement & with signed informed consent.
Exclusion criteria
Exclusion criteria: A potential subject who meets any of the following criteria will be excluded from participation in this study: Patients with unstable angina, vasospastic angina pectoris, recent myocardial infarction, valvular heart disease, clinical evidence of heart failure, left ventricular hypertrophy, uncontrolled hypertension, peripheral vascular disease, LVEF
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary endpoint: Assessment of biochemical markers of leucocyte recruitment in patients with CAD (MCP-1 (CCL2), CCL5, MIF, SDF-1). | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary endpoints: - Flow mediated dilatation (FMD): vasoreactivity of the brachial artery (measured as % change in diameter) at baseline and 3 weeks - Laser doppler perfusion imaging (LDPI) and iontophoresis: vasoreactivity of the cutaneous microvasculature at baseline and 3 weeks - Assessment of coronary endothelial (dys)function by an endothelial-dependent vasomotion test with acetylcholine (AC). The number of patients with a paradoxical vasoconstriction to AC is recorded in each study group. - Blood sampling at baseline and 3 weeks: Biochemical markers of inflammation (hs-CRP, IL1ß, IL6, IL10, PIGF, TNF* and VEGFa). Monocyte chemokine and adhesion molecule profile (CCL2-5, CCR1-2, CXCR4, LFA1): flowcytometry Monocyte/macrophage polarization: cell culture, qPCR) | — |
Countries
Netherlands