Unique ID issued by UMIN | UMIN000016059 |
---|---|
Receipt number | R000018663 |
Scientific Title | Exercise Stress Echocardiography Compared with Fractional Flow Reserve for the Detection of Significant Coronary Stenosis: Using Multilayer Strain |
Date of disclosure of the study information | 2014/12/26 |
Last modified on | 2016/12/26 11:32:21 |
Exercise Stress Echocardiography Compared with Fractional Flow Reserve for the Detection of Significant Coronary Stenosis: Using Multilayer Strain
Exercise Stress Echocardiography Versus Fractional Flow Reserve
Exercise Stress Echocardiography Compared with Fractional Flow Reserve for the Detection of Significant Coronary Stenosis: Using Multilayer Strain
Exercise Stress Echocardiography Versus Fractional Flow Reserve
Japan |
Coronary artery disease
Cardiology |
Others
NO
The aim of this study is to investigate whether the assessment of myocardial deformation using multilayer strain during exercise stress echocardiography is useful to detect functional significant coronary artery stenosis confirmed by invasive fractional flow reserve.
Efficacy
The rate of change of endocardial longitudinal strain at rest and after exercise in the myocardial territories supplied by coronary vessels with or without fractional flow reserve less than or eual to 0.80
Comparison of following parameters assessed by two dimensional or three dimensional speckle tracking echocardiography in the myocardial territories supplied by coronary vessels with or without fractional flow reserve < or = 0.80 (or < 0.75):
Endocardial, epicardial, all-layer longitudinal strain,
Circumferential strain
Radial strain
Post systolic index
Time to peak strain
Time to peak strain index
Time from AVC to peak strain
Comparison of global longitudinal strain with BNP
ECG changes during ecercise echocardiography
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Diagnosis
Maneuver |
Exercise echocardiography and fractional flow reserve measurement
20 | years-old | <= |
Not applicable |
Male and Female
1. Patients who will undergo a coronary angiography or a percutaneous coronary intervention with coronary artery disease, defined as greater than or equal to 50% diameter stenosis by visual estimation, in one or more major epicardial coronary arteries
2. Twenty years of age and older
3. Able to provide informed, written consent
1. Patients with lesions localized on right coronary ostia or left main coronary artery
2. Atrial fibrillation
3. Recent myocardial infarction (within 7 days)
4. Severe valvular heart disease
5. Decompensated heart failure
6. Advanced renal failure (estimated glomerular filtration rate less than or equal to 30 ml/min)
7. Severe left ventricular dysfunction (ejection fraction less than or equal to 30%)
8. Patients who cannot peddle an ergometer for any reason
9. Pregnant
10. Contraindication to both adenosine triphosphate and papaverine.
11. Patients judged as inappropriate for trial entry
30
1st name | |
Middle name | |
Last name | Yoshio Kobayashi |
Chiba University Hospital
Department of Cardiovascular Medicine
1-8-1 Inohana, Chuo-ku, Chiba city, Chiba, Japan
043-226-2340
aapa6508@chiba-u.jp
1st name | |
Middle name | |
Last name | Takeshi Nishi |
Chiba university hospital
Department of Cardiovascular Medicine
1-8-1 Inohana, Chuo-ku, Chiba city, Chiba, Japan
043-226-2340
tnishi@chiba-u.jp
Chiba University Graduate School of Medicine
Chiba University Graduate School of Medicine
Self funding
NO
2014 | Year | 12 | Month | 26 | Day |
Unpublished
Completed
2014 | Year | 12 | Month | 10 | Day |
2014 | Year | 12 | Month | 24 | Day |
2016 | Year | 12 | Month | 01 | Day |
2014 | Year | 12 | Month | 26 | Day |
2016 | Year | 12 | Month | 26 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000018663