Status:

RECRUITING

INOCA-NA a Local Prospective Registry

Lead Sponsor:

Federico II University

Conditions:

Ischemia, Myocardial

Non-Obstructive Coronary Atherosclerosis

Eligibility:

All Genders

Brief Summary

The present study has the following objectives: 1. To investigate the prevalence of INOCA in patients referring for a clinically indicated coronary angiography (CA) c/o Division of Cardiology - Feder...

Detailed Description

Eligible patients with angina and/or positive stress test undergoing clinical indicated CA detecting non-obstructive CAD will be studied as follows: * Functional evaluation by fractional flow reserve...

Eligibility Criteria

Inclusion

  • Clinical presentation of chronic ischemic heart dis- ease (IHD), requiring coronary angiography for the diagnosis;
  • Absence of obstructive coronary artery disease (CAD) at coronary angiography;
  • Age \> 18 years.
  • Ability to provide a valid informed consent to the study procedure at the time of baseline evaluation;

Exclusion

  • Clinical presentation of acute coronary syndrome (ACS) or cardiogenic shock;
  • Presence of obstructive CAD with at least 1 significant coronary artery stenosis, defined as diameterstenosis \>50% and FFR ≤0.80 (or iFR/RFR ≤0.89);
  • Previous coronary artery bypass grafting (CABG);
  • Left ventricular systolic dysfunction, defined as ejection fraction (EF) \<40%;
  • Severe valvular heart disease;
  • Pregnant or breastfeeding women
  • Known hypersensitivity or contraindication to any of the drugs used for coronary physiology testing (adenosine, nitrates, acetylcholine)
  • Inability or unwillingness to provide a valid in- formed consent to the study procedure at the time of baseline evaluation.

Key Trial Info

Start Date :

September 19 2024

Trial Type :

OBSERVATIONAL

Allocation :

ESTIMATED

End Date :

September 1 2027

Estimated Enrollment :

250 Patients enrolled

Trial Details

Trial ID

NCT06588244

Start Date

September 19 2024

End Date

September 1 2027

Last Update

March 17 2025

Active Locations (1)

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DPT of Advanced Biomedical Sciences

Naples, Italy, Italy, 80131