chronic coronary syndromes disease of the small coronaries
Conditions
Interventions
None listed
Sponsors
CoreAalst BV
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: Consecutive patients in whom physiological assessment of the microcirculatory function including continuous coronary thermodilution has been performed with a Pressure-wire X within the context of routine clinical care.
Exclusion criteria
Exclusion criteria: . Age 3 times the ULN. 9. Comorbidity with life expectancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary endpoint will be the rate of major adverse cardiac and cerebrovascular events at one year (MACCE - defined as cardiovascular death, myocardial infarction, revascularization, angina and heart failure-related hospitalizations, and stroke) between patients with and without CMD based on MRR at 1 year follow-up. | — |
Secondary
| Measure | Time frame |
|---|---|
| Main Secondary endpoints: 1. Relationship between MACCE*s and each thermodilution derived metrics of microvascular function (i.e., absolute hyperemic flow, absolute hyperemic resistance, IMR and CFR). 2. Relationship between the presence and severity of angina, assessed by SAQ- 19, and each individual thermodilution-derived metrics of microvascular function (i.e., absolute hyperemic flow, absolute hyperemic resistance, IMR and CFR). 3. Relationship between the presence and severity of angina, assessed by the Euro-CRAFT app, and each individual thermodilution-derived metrics of microvascular function (i.e., absolute hyperemic flow, absolute hyperemic resistance, IMR and CFR). 4. Safety of continuous and bolus thermodilution measurements, as assessed by adverse event registration. 5. To determine cut-off values of thermodilution-derived indices. 6. To assess the prevalence of CMD based on MRR in patients with angina and non-obstructive coronary artery disease (NOCAD). | — |
Countries
Netherlands
Outcome results
None listed