Heart Rate Reduction by IVabradine for Improvement of ENDothELial Function in Patients With Coronary Artery Disease: the RIVENDEL Study
Overview
- Phase
- Phase 4
- Intervention
- Ivabradine
- Conditions
- Coronary Artery Disease
- Sponsor
- Campus Bio-Medico University
- Enrollment
- 70
- Locations
- 1
- Primary Endpoint
- Flow-mediated dilation of the brachial artery
- Status
- Completed
- Last Updated
- 10 years ago
Overview
Brief Summary
This study evaluates the effect of ivabradine on endothelial function in patients with coronary artery disease (CAD) after complete revascularization with percutaneous coronary angioplasty (PCI). At least 30 days after PCI, patients will be randomized to receive ivabradine 5 mg twice daily or to continue with standard medical therapy.
Investigators
Germano Di Sciascio
Prof. Germano Di Sciascio
Campus Bio-Medico University
Eligibility Criteria
Inclusion Criteria
- •history of stable coronary disease
- •complete coronary revascularization with PCI at least 1 month prior to recruitment
- •sinus rhythm
- •absence of anginal symptoms
Exclusion Criteria
- •resting heart rate \<60 beats per minute
- •severe reduction of left ventricle ejection fraction (\<40%)
- •coronary artery by-pass surgery
- •myocardial infarction, stroke or cerebral transient ischemic attack within the previous 6 months
- •implanted pacemaker, cardioverter, or defibrillator
- •sick sinus syndrome
- •sinoatrial block
- •congenital long QT
- •complete atrioventricular block
Arms & Interventions
Ivabradine group
Ivabradine 5 mg twice daily + standard medical therapy
Intervention: Ivabradine
Ivabradine group
Ivabradine 5 mg twice daily + standard medical therapy
Intervention: Standard medical therapy
Control group
Standard medical therapy
Intervention: Standard medical therapy
Outcomes
Primary Outcomes
Flow-mediated dilation of the brachial artery
Time Frame: 8 weeks
Secondary Outcomes
- Number of patients with flow-mediated dilation of the brachial artery <7%(8 weeks)
- Endothelium-independent dilation of the brachial artery(8 weeks)
- Correlation between heart rate and flow-mediated dilation of the brachial artery(8 weeks)