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Does Coronary Angiography Cause Cognitive Dysfunction?

Completed
Conditions
Coronary Heart Disease
Heart Valve Diseases
Interventions
Procedure: Arterial approach
Registration Number
NCT01428947
Lead Sponsor
Karolinska Institutet
Brief Summary

The purpose of the study is to study if coronary angiography cause cognitive dysfunction.

Detailed Description

We have previously shown, using transcranial doppler, that coronary angiography cause cerebral microembolism. Cerebral microemboli were more common using the radial than femoral approach. Previously, cerebral microembolism has been associated with new cerebral lesions on MRI. The clinical significance of these new lesions is not determined. The primary aim of this pilot study is to see if coronary angiography cause cognitive dysfunction determined by the MoCA-test. A secondary aim is to relate cognitive dysfunction to cerebral microembolism measured by transcranial doppler. A third aim is to study potential differences between the femoral and radial approaches.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
80
Inclusion Criteria
  • Elective coronary angiography irrespective of cause
Exclusion Criteria
  • Previous CABG, language problems, not willing to participate

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Coronary angiographyArterial approachPatents scheduled for elective coronary angiography
Primary Outcome Measures
NameTimeMethod
Change in cognitive dysfunction from baseline to two days after coronary angiographyBaseline and two days

The Montreal Cognitive Assesment test will be performed before, 2 and 30 days after coronary angiography

Secondary Outcome Measures
NameTimeMethod
Number of patients with cerebral microemboliBaseline

Cerebral microembolism will be studied by transcraniell doppler at the time of angiography. Findings will be related to change in cognitive function between baseline and two days.

Trial Locations

Locations (1)

Cardiology Clinic, Karolinska University Hospital

🇸🇪

Stockholm, Sweden

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