NL-OMON56491尚未招募不适用
The Novel Use of Transcutaneous Electrical Nerve Stimulation in Patients with Angina and Non-Obstructive Coronary Arteries; a Pilot Study - TENS ANOCA
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 20
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
- 18 至 99(—)
入选标准
- •- Angina and no obstructive coronary artery disease (ANOCA) (CCS class III or
- •o Microvascular angina (MVA): FFR > 0.8, CFR < 2.0, IMR >= 25
- •o Vasospastic angina (VSA): FFR > 0.8, CFR >= 2.0, IMR < 25 and during
- •acetylcholine testing: >=
- •90% diameter reduction, Angina pectoris & Ischaemic ECG changes.
- •- Persisting angina pectoris despite optimal medical therapy (OMT) defined as:
- •o MVA: Betablocker, calcium channel blocker, nicorandil and/or ivabradine
- •(Important side note:
- •ranolazine and trimetazidine cannot be prescribed in the Netherlands).
- •o VSA: Calcium channel blocker, long-acting nitrate and/or nicorandil.
- •In the maximum tolerated dose. If the patient is currently not using one of the
- •medications due to side-effects, this should be clearly stated.
- •- Age > 18 years
排除标准
- •- Both endotypes (VSA and MVA) present based on CFT findings.
- •- Inability to give informed consent
- •- Inability to perform a 6-minute walking test
- •- The presence of a cardiac implanted electronic device (CIED)
- •o Pacemaker
- •o Implantable Cardiac Defibrillator (ICD)
- •Due to the risk of interference between TENS and CIED
- •- Presence of a spinal cord stimulator for another indication such as complex
- •regional pain syndrome, failed back surgery syndrome, etc.
研究者
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