Status:

RECRUITING

Evaluation of Patients With Non-obstructive Coronary Arteries

Lead Sponsor:

Stanford University

Conditions:

Chest Pain

Ischemia

Eligibility:

All Genders

18+ years

Brief Summary

Patients with angina and non-obstructive CAD are common within clinical practice, but remain a challenge with regard to diagnosis and treatment. When these patients undergo a comprehensive evaluation ...

Detailed Description

This is a prospective registry of patients with chest pain, chest discomfort, breathlessness who do not have a blockage in their heart artery. This condition is known as angina/ischemia and non-obstru...

Eligibility Criteria

Inclusion

  • Patient referred for elective coronary angiography because of a reasonable clinical suspicion of coronary ischemia.
  • Presence of angina or an anginal equivalent (including chest, back, shoulder, arm, neck, jaw discomfort, or shortness of breath brought on by physical exertion, emotional stress, or certain times of day/month).

Exclusion

  • Asymptomatic (such as a pre-op cath)
  • Status-post heart transplant
  • Age \<18
  • Renal insufficiency (creatinine \>1.5)
  • Presence of an acute coronary syndrome (STEMI or NSTEMI), Tako-tsubo, an abnormal ejection fraction (EF\<55%), cardiogenic shock, or recent VT/VF
  • Presence of another likely explanation of chest pain, such as pulmonary hypertension or aortic stenosis
  • History of adverse reaction to any of the medications being used (acetylcholine, nitroglycerin, adenosine, or heparin)
  • Currently taking vasoactive medication (such as nitroglycerin)
  • Inability to provide an informed consent, including an inability to speak, read, or understand English, Spanish, Chinese, Farsi, Japanese, Korean, Russian, or Vietnamese
  • A hearing impairment that won't allow for a typical verbal conversation or a visual impairment that won't allow for reading of the written consent
  • Participation in another study (with the exception of the Stanford Gene-PAD study)
  • A potentially vulnerable subject (including minors, pregnant women, economically and educationally disadvantaged, decisionally impaired, and homeless people)

Key Trial Info

Start Date :

June 1 2007

Trial Type :

OBSERVATIONAL

Allocation :

ESTIMATED

End Date :

June 1 2047

Estimated Enrollment :

2000 Patients enrolled

Trial Details

Trial ID

NCT00823563

Start Date

June 1 2007

End Date

June 1 2047

Last Update

June 5 2025

Active Locations (1)

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Stanford University School of Medicine

Stanford, California, United States, 94305