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Prospective study to validate the efficacy of cilostazol on variant angina

Not Applicable
Recruiting
Conditions
Diseases of the circulatory system
Registration Number
KCT0000020
Lead Sponsor
Pusan National University Yangsan Hospital
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
50
Inclusion Criteria

Patients who present with chest pain in PNUYH,Gangneung ASAN H.,Haeundae Paik H.
? signing on consent form
? age : 20~80 years old
? diagnosis of variant angina as following the criteria
?. Resting anginal chest pain
?. Documented coronary vasospasm : anyone of A~C
A. CAG ( Reversible vasospasm ) : a or b
a. Provocation Test (Use of intravenous Ergonovine) : positive
b. Vasodilator Response Test ( Use of intracoronary Nitroglycerin)
: reversibility of baseline vasospasm ( Resolved vasospasm of =50%)
B. Echocardiogram
a. Provocation Test (Use of intravenous Ergonovine) : positive
C. Routine ECG or 24h ECG Holter monitoring
a. Transient ST-T wave
?. Exclusion of significant coronary arterial stenosis: anyone of A~D
A. CAG : No Culprit lesion (< 50% luminal narrowing )
B. CT-Coronary Angio : No significant lesion (<50% stenosis )
C. TMT : Negative
D. thalium SPECT : Normal uptake

Exclusion Criteria

? less than 20 year old or more than 80 years old
? mixed angina which has more than 50% of coronary artery stenosis
? contraindication of pletaal use
? chronic renal failure ( serum Cre > 2 mg/dL)
? ejection fraction < 40%
? vasospasm on left main
? pregnant woman

Study & Design

Study Type
Interventional Study
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
chest pain scale
Secondary Outcome Measures
NameTimeMethod
all adverse effect
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