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 type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 600 (estimated) |
| Sponsor | Hospital San Carlos, Madrid Academic / other |
| Locations | 1 site (Madrid) |
| Status | Recruiting |
| Started | November 8, 2017 |
| Main results expected | December 31, 2025 |
| Study ends | December 31, 2030 |
| Registry record updated | April 26, 2021 |
| Trial ID | NCT04827498 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
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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.
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Magnetocardiography in people with chest pain and non-obstructive heart arteries
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.