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临床试验/ITMCTR2024000027
ITMCTR2024000027招募中Unknown

Clinical trial on the treatment of coronary microvascular disease with Shexiang Tongxin dropping pill

Guangdong provincial Hospital of Chinese Medicine0 个研究点开始时间: 待定最近更新:
适应症

试验速览

阶段
Unknown
状态
招募中
发起方

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
35 至 75(—)
性别
All

入选标准

  • 1.Men or women aged 35-75
  • 2.Symptoms of myocardial ischemia, including patients with stable angina pectoris and unstable angina pectoris
  • 3.LVEF >50% or more confirmed by transthoracic cardiac ultrasound
  • 4.Perform coronary angiography or coronary CT (MSCT) to determine that there is no >50% stenosis in the three major epicardial vessels, or prior PCI with no >50% stenosis in the original stent
  • 5.Objective evidence of myocardial ischemia, such as ischemic changes on the electrocardiogram during angina episodes or ischemic changes on the electrocardiogram induced by the use of a flat-plate exercise loading test, and/or abnormal ventricular wall motion
  • 6.Impaired coronary microvascular function is suggested by the use of any of the following tests:
  • a. Intracoronary pressure guidewire to detect the coefficient of microcirculatory resistance (IMR)
  • b. Selective coronary angiography suggests the phenomenon of slow coronary blood flow (TIMI flow frame count method)
  • c.Cardiac magnetic resonance imaging (CMR)
  • 7. Voluntarily undergo all examinations and follow-up assessments required by the study protocol
  • 8. Subjects were informed and voluntarily signed an informed consent form

排除标准

  • 1. new acute myocardial infarction within 3 months
  • 2. Subjects cannot tolerate dual antiplatelet therapy
  • 3. Obvious hematopoietic system abnormalities, such as platelets <72 x 10^9/L or >700 x 10^9/L and white blood cells <3 x 10^9/L
  • 4. Active bleeding and obvious bleeding tendency, such as active ulcers, recent ischemic stroke, history of hemorrhagic stroke, intracranial space-occupying lesions, recent craniocerebral trauma, active bleeding from other organs that cannot be easily hemostatized, or bleeding tendency
  • 5. Combined with other organ failure, such as severe renal insufficiency (GFR<30ml/min/1.73m2) or severe hepatic impairment (AST or ALT elevated more than 3 times the upper limit of normal value), combined with severe congestive heart failure (cardiac function>class III). Suffering from serious diseases with a life expectancy of less than 12 months, such as malignant tumors, other diseases in advanced stages
  • 6. Pregnant women and women planning a pregnancy
  • 7. Acute infectious diseases
  • 8. Combined immune system diseases
  • 9. Subject is allergic to or has contraindications to concomitant medications required by the study protocol (e.g., aspirin, clopidogrel, statins, contrast agents, anticoagulants, nicorandil, muscimol drops, etc.)
  • 10. Patients with cognitive impairment, severe hearing and visual impairment who are unable to complete pre-group communication and who refuse to be reviewed
  • 11. is participating in a clinical trial of another drug or device that has not yet reached its primary endpoint, or is scheduled to participate in a clinical trial of another drug or device within 12 months after surgery

研究者

发起方
Guangdong provincial Hospital of Chinese Medicine

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