Not yet recruiting NCT05793567
A Study of Microcirculatory Function in Type 2 Myocardial Infarction (T2MI)
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Coronary angiogram with coronary reactivity testing (CRT).
- Who it may be relevant to
- Registry conditions: Myocardial Infarction, Coronary Microvascular Disease. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
Assessment of Microcirculatory Function in Type 2 Myocardial Infarction
Overview
The purpose of this research is to find out if patients with Type 2 Myocardial Infarction (T2MI) without significant epicardial coronary artery disease (CAD) have a greater chance of having coronary microvascular disease (CMD).
Interventions
- Diagnostic test Coronary angiogram with coronary reactivity testing (CRT)
CRT is an angiography procedure (using X-ray) to examine the small blood vessels in the heart and how they respond to three drugs (adenosine, acetylcholine and nitroglycerin) as per clinical protocol.
Primary outcome measures
- Coronary Flow Reserve (CFR) [Time frame: Baseline]
Secondary outcome measures (1)
- Backward Compression Wave (BCW) [Time frame: Baseline]
Eligibility criteria
Inclusion criteria
- Ability to give informed consent
- Structurally normal heart (normal LV and RV function, no more than mild valvular heart disease)
- For controls: atypical chest pain with indication for CMD testing
- For T2MI: meet criteria for T2MI according to the 4th Universal definition of MI (rise/fall of troponin with at least 1 value >99th centile+ evidence of symptoms or signs of myocardial ischemia)
Exclusion criteria
- Acute coronary event (evidence of plaque rupture, fissure or dissection on coronary angiogram)
- Known to have angiographically significant CAD/pressure wire positive for epicardial CAD
- Inability to receive heparin products
- Allergy/contraindication to acetylcholine/adenosine/nitroglycerine products
- Prior coronary artery bypass grafting
- Pregnancy (if sexually active woman of reproductive age, need negative pregnancy test prior to proceeding with coronary angiography - this is standard of care in cath lab)
- Asthma with prior ICU admission due to bronchospasm/need for invasive ventilation
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Observational model
- Case-control
Study locations
United States · 1 center
- Mayo Clinic Rochester — Rochester
Identifiers
NCT: NCT05793567 · 22-012721