Clinical trial Recruiting at 1 site Observational Ages 18 and up

Understanding Myocardial Ischemia Without Blocked Arteries

Official title: Myocardial Ischemia Without Obstructive Coronary Stenoses: A Prospective Observational Study With Invasive Coronary Pressure and Flow Measurements and Endothelial Function Test

Run by Hospital San Carlos, Madrid · NCT04827498 · Data updated 2026-11-12

This study is trying to understand heart problems caused by non-blocked arteries in patients with chest pain to see how well different treatments work over five years.

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment600 (estimated)
SponsorHospital San Carlos, Madrid
Academic / other
Locations1 site (Madrid)
StatusRecruiting
StartedNovember 8, 2017
Main results expectedDecember 31, 2025
Study endsDecember 31, 2030
Registry record updatedApril 26, 2021
Trial IDNCT04827498 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include adults aged 18 and older who are eligible for invasive physiological assessments.

Probably not a fit

Patients with hemodynamic instability or contraindications for adenosine or acetylcholine tests may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This observational study aims to enhance knowledge about myocardial ischemia caused by non-obstructive coronary artery disease. It will enroll patients referred for coronary physiological assessment, utilizing pressure-flow measurements and acetylcholine tests to evaluate coronary hemodynamics. The study will diagnose microcirculatory dysfunction and vasomotor disorders based on established criteria and adjust medical therapy accordingly. Patients will be followed up over a period of five years to assess their angina status using the Seattle Questionnaire.

Why it matters

Potential benefit: If successful, this study could lead to improved diagnosis and treatment options for patients suffering from non-obstructive coronary artery disease.

How similar studies have gone: Other studies have shown promise in understanding non-obstructive coronary artery disease, but this specific approach may provide novel insights.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Written informed consent available.
* Age ≥ 18 years.
* Patient eligible for invasive physiological assessment with adenosine and / or acetylcholine.

Exclusion Criteria:

* Hemodynamic instability.
* Anticipated technical issues for physiology wire measurements.
* Culprit vessel of acute coronary syndrome
* Contraindications for adenosine administration.
* Contraindications for acetylcholine test.
* Reduced life expectancy (less than 1 year).

Where it's running

  • Hospital Clinico San Carlos
    Madrid, Spain
    Recruiting

Study contacts

  • Principal investigator: Hernan Mejia-Renteria, MD, PhD — Department of Cardiology, Hospital Clinico San Carlos
  • Study coordinator: Hernan Mejia-Renteria, MD, PhD
  • Email: hmejiarenteria@gmail.com
  • Phone: +34 913303283

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.