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Measuring heart muscle oxygenation in chest pain syndromes

Not Applicable
Conditions
eft ventricular hypertrophy
Hibernating myocardium
Left ventricular hypertrophy
Cardiovascular - Coronary heart disease
Registration Number
ACTRN12610000038099
Lead Sponsor
Southern Adelaide Health Service
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot yet recruiting
Sex
All
Target Recruitment
65
Inclusion Criteria

1. History of hypertension, left ventricular hypertrophy, exertional chest pain and/or breathlessness, normal epicardial arteries
2. Known coronary artery disease, impaired regional left ventricular function awaiting percutaneous coronary intervention or coronary artery bypass grafting

Exclusion Criteria

Inability to give written informed consent, estimated Glomerular Filtration Rate(GFR)<60mls/min, extreme claustrophobia, implantable cardiac devices and other contra-indications to Magnetic Resonance Imaging(MRI) (i.e. metal in eyes), asthma or other reversible bronchospasm

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Patients with left ventricular hypertrophy presenting with chest pain and/or exertional breathlessness with normal epicardial arteries have direct impairments in myocardial tissue oxygenation. Perfusion reserve and blood-level dependent (BOLD) signal will be determined in the treatment group versus the control group. Assessed by cardiac magnetic resonance imaging and echocardiography.[Baseline];Hibernating myocardial segments will maintain myocardial oxygenation levels similar to remote normal myocardium both in rest and stress. Regional wall motion, perfusion and oxygenation will be assessed by cardiac magnetic resonance imaging and echocardiography in the hibernating group versus the control group[Baseline and 6 months post revascularisation]
Secondary Outcome Measures
NameTimeMethod
none[none]
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