Chronic Stable Angina
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients with chronic stable angina pectoris; aged between 18 and 70 years; who remain symptomatic despite of using beta blockers (maximum tolerated dose) and HR = 70 bpm; sinus rhythm; LVEF >40%; and any ischemia in baseline myocardial perfusion scintigraphy; performed with a physical stress test; in accordance with previous drug therapy
Exclusion criteria
Exclusion criteria: Unstable angina; Myocardial infarction <6 months; LVEF <40%; HR <70 bpm; presence of left bundle branch block; pacemaker; patients who cannot perform a treadmill stress test (physical limitation); pregnancy, breastfeeding or women in childbearing age who are not taking appropriate contraceptive methods; patients with hypersensibility to ivabradine or any component of the formula, cardiogenic shock, acute myocardial infarction, severe hypotension; and patients with contraindication to perform a myocardial scintigraphy.And also strict precautions (ie contraception) are needed in women of childbearing potential (because ivabradine and scintigraphy)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Evaluate the percentage of myocardial ischemia through visual and/or automatic analysis of myocardial perfusion scintigraphy (SPECT) after three months of treatment, compared to baseline | — |
Secondary
| Measure | Time frame |
|---|---|
| It is expected to notice an improvement in symptoms (angina attacks, consumption of short-acting nitrates, angina according to the classification of the Canadian Society of Cardiology - CCS) evaluated during the consultation visit after three months, compared to the baseline;It is expected to notice an improvement in the patient's exercise capacity assessed by the exercise tolerance parameters (TTE) performed during the scintigraphy examination after three months of treatment, compared to the same examination performed at baseline | — |
Countries
Brazil
Contacts
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