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临床试验/NCT01078272
NCT01078272终止不适用

The Saint Francis Remote Ischemic Preconditioning Trial (SaFR)

St. Francis Hospital, New York2 个研究点 分布在 1 个国家目标入组 4 人开始时间: 2010年3月1日最近更新:
适应症

试验速览

阶段
不适用
状态
终止
发起方
入组人数
4
试验地点
2
主要终点
MACE

研究概览

简要总结

This study tests the hypothesis that repeated inflation of a blood pressure cuff on the arm will improve results of coronary stent implantation by:

  • reducing chest pain and electrocardiogram changes during balloon inflation to place the stent
  • reducing leakage of heart muscle protein(troponin) into the blood stream after stent placement, indicated reduced damage to heart muscle during stent implantation
  • increases in molecules in the blood that promote dilation of arteries
  • reduced evidence of heart muscle damage on MRI immediately after stenting
  • improved patient outcomes over six months with fewer adverse cardiovascular events(heart attack, acute coronary syndrome,renarrowing of the stented artery, heart failure, death, stroke, transient ischemic attack)
  • improved heart structure and function at 6 months after stenting

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Prevention
盲法
Triple (Participant, Care Provider, Outcomes Assessor)

入排标准

年龄范围
40 Years 至 80 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Patients with stable chronic coronary artery disease scheduled for elective percutaneous intervention.

排除标准

  • Recent (1 month) myocardial infarction
  • Acute coronary syndrome
  • Chest pain at res
  • Estimated glomerular filtration rate(GFR)<45 mL/min/1.73 m2
  • Frequent premature atrial or ventricular contractions or atrial fibrillation
  • Any contraindication to MRI including implanted non MRI compatible medical devices or ferromagnetic materials such as shrapnel
  • Inability to breath-hold
  • Severe claustrophobia
  • Persistent tremor
  • Inability to follow instructions.

结局指标

主要结局

MACE

时间窗: 6 months post-stenting

MACE is defined as a combined endpoint including: heart attack, acute coronary syndrome,restenosis of the stented artery, new heart failure stroke, transient ischemic attack or death

次要结局

  • troponin I(24 hours)
  • chest pain during stenting(immediate during procedure)
  • ST segment changes during stent implantation(immediate)
  • MRI delayed enhancement(1-7 days after stenting)
  • Late left ventricular volumes and ejection fraction(6 months)

研究者

发起方
St. Francis Hospital, New York
申办方类型
Other
责任方
Principal Investigator
主要研究者

Nathaniel Reichek MD

Director, Research Department and Cardiac Imaging Program

St. Francis Hospital, New York

研究点 (2)

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