Unique ID issued by UMIN | UMIN000031390 |
---|---|
Receipt number | R000035841 |
Scientific Title | The Relation between Impairment of Endothelium-dependent Coronary Blood Flow Volume Change and Higher Platelet Aggregability |
Date of disclosure of the study information | 2018/02/28 |
Last modified on | 2018/02/20 17:00:58 |
The Relation between Impairment of Endothelium-dependent Coronary Blood Flow Volume Change and Higher Platelet Aggregability
Endothelial function and platelet aggregability
The Relation between Impairment of Endothelium-dependent Coronary Blood Flow Volume Change and Higher Platelet Aggregability
Endothelial function and platelet aggregability
Japan |
healthy person
Cardiology | Adult |
Others
NO
Thrombus formation is one of the main pathogenesis of myocardial infarction. Previous studies have reported that atherosclerosis can increase platelet aggregability. Endothelial dysfunction reflects early change of atherosclerosis. However, the relation between coronary-endothelial dysfunction and platelet reactivity remains unclear. We investigated the relation between endothelium-dependent coronary blood flow volume change and platelet aggregability in non-obstructive ischemic heart disease (IHD) patients who did not take any anti-platelet therapy.
Others
Thrombus formation is one of the main pathogenesis of myocardial infarction. Previous studies have reported that atherosclerosis can increase platelet aggregability. Endothelial dysfunction reflects early change of atherosclerosis. However, the relation between coronary-endothelial dysfunction and platelet reactivity remains unclear. We investigated the relation between endothelium-dependent coronary blood flow volume change and platelet aggregability in non-obstructive ischemic heart disease (IHD) patients who did not take any anti-platelet therapy.
Consecutive 368 patients suspected angina with normal coronary arteries were initially enrolled. We performed coronary angiography and intracoronary acetylcholine-provocation test, and measured adenosine triphosphate-induced coronary flow reserve (CFR) to diagnose the presence of non-obstructive IHD by using Doppler FloWire at the proximal site of left anterior descending coronary artery before taking any vasodilators at the basal non-stress condition. Then, we excluded patients who take any anti-platelet agents from 62 patients with non-obstructive IHD. Finally, 25 non-obstructive IHD patients were assessed the relation between CBFV change and platelet aggregability as P2Y12 reaction unit (PRU) by VerifyNow P2Y12 assay system.
Observational
18 | years-old | <= |
Not applicable |
Male and Female
The study screened stable patients suspected angina who admitted Kumamoto Univercity Hospital between January 2002 to April 2011. We performed coronary angiography (CAG), intracoronary acetylcholine-provocation test and measured coronrary flow reserve (CFR) to diagnose angina, and we excluded patients with ischemic heart disease (IHD) and vasospastic angina. Then we also excluded patients with took antithrombotic drugs. We finally enrolled 25 patients without obstructive or spastic angina were assessed the relation between CBFV and platelet aggregability.
we excluded patients who take any anti-platelet agents from 62 patients with non-obstructive IHD.
25
1st name | |
Middle name | |
Last name | Kenji Tsujita |
Kumamoto univercity hospital
cardiology
1-1-1 Honjo Tyuouku Kumamotoshi
0963735175
tsujita@kumamoto-u.ac.jp
1st name | |
Middle name | |
Last name | Masafumi Takae |
Kumamoto univercity hospital
cardiology
1-1-1 Honjo Tyuouku Kumamotoshi
0963735175
qqcv2t3d@yahoo.co.jp
Kumamoto univercity hospital
Kumamoto univercity hospital
Other
NO
2018 | Year | 02 | Month | 28 | Day |
Unpublished
Completed
2012 | Year | 04 | Month | 01 | Day |
2012 | Year | 04 | Month | 01 | Day |
none
2018 | Year | 02 | Month | 20 | Day |
2018 | Year | 02 | Month | 20 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000035841