NL-OMON56491
Not yet recruiting
Not Applicable
The Novel Use of Transcutaneous Electrical Nerve Stimulation in Patients with Angina and Non-Obstructive Coronary Arteries; a Pilot Study - TENS ANOCA
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Not specified
- Sponsor
- Catharina-ziekenhuis
- Enrollment
- 20
- Status
- Not yet recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
No summary available.
Investigators
Eligibility Criteria
Inclusion Criteria
- •\- Angina and no obstructive coronary artery disease (ANOCA) (CCS class III or
- •o Microvascular angina (MVA): FFR \> 0\.8, CFR \< 2\.0, IMR \>\= 25
- •o Vasospastic angina (VSA): FFR \> 0\.8, CFR \>\= 2\.0, IMR \< 25 and during
- •acetylcholine testing: \>\=
- •90% diameter reduction, Angina pectoris \& Ischaemic ECG changes.
- •\- Persisting angina pectoris despite optimal medical therapy (OMT) defined as:
- •o MVA: Betablocker, calcium channel blocker, nicorandil and/or ivabradine
- •(Important side note:
- •ranolazine and trimetazidine cannot be prescribed in the Netherlands).
- •o VSA: Calcium channel blocker, long\-acting nitrate and/or nicorandil.
Exclusion Criteria
- •\- Both endotypes (VSA and MVA) present based on CFT findings.
- •\- Inability to give informed consent
- •\- Inability to perform a 6\-minute walking test
- •\- The presence of a cardiac implanted electronic device (CIED)
- •o Pacemaker
- •o Implantable Cardiac Defibrillator (ICD)
- •Due to the risk of interference between TENS and CIED
- •\- Presence of a spinal cord stimulator for another indication such as complex
- •regional pain syndrome, failed back surgery syndrome, etc.
Outcomes
Primary Outcomes
Not specified
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