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Ivabradine to Improve Endothelial Function in Patients With Coronary Artery Disease

Phase 4
Completed
Conditions
Coronary Artery Disease
Interventions
Drug: Ivabradine
Drug: Standard medical therapy
Registration Number
NCT02681978
Lead Sponsor
Campus Bio-Medico University
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.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
70
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
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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
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Ivabradine groupStandard medical therapyIvabradine 5 mg twice daily + standard medical therapy
Control groupStandard medical therapyStandard medical therapy
Ivabradine groupIvabradineIvabradine 5 mg twice daily + standard medical therapy
Primary Outcome Measures
NameTimeMethod
Flow-mediated dilation of the brachial artery8 weeks
Secondary Outcome Measures
NameTimeMethod
Number of patients with flow-mediated dilation of the brachial artery <7%8 weeks
Endothelium-independent dilation of the brachial artery8 weeks

Dilation of the brachial artery after administration of 0.5 mg sublingual nitroglycerin

Correlation between heart rate and flow-mediated dilation of the brachial artery8 weeks

Trial Locations

Locations (1)

Campus Bio-Medico University

🇮🇹

Rome, RM, Italy

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