Comparison of Cardiac Computed Tomography and Vasodilator Stress Magnetic Resonance Imaging Perfusion in Patients With Prior Equivocal Stress Test for Detection of Coronary Artery Disease
NCT00929227 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 109
Last updated 2021-12-03
Summary
Background:
* Noninvasive cardiac stress testing is imperfect. Inconclusive test results generate further expensive testing.
* In patients with known or suspected coronary artery disease, both computed tomography (CT) and magnetic resonance imaging (MRI) have been shown to provide suitable results for detecting the disease. However, both types of scans have limitations in their usefulness, and it is not known whether one is preferable in either accuracy or cost-effectiveness.
Objectives:
\- To determine the accuracy and cost-effectiveness of CT and MRI in subjects with a prior inconclusive heart stress test.
Eligibility:
\- Patients 18 years of age and older who have had an inconclusive heart stress test within the past 90 days.
Design:
* A blood test will be obtained prior to both heart tests. This will require less than a teaspoon of blood.
* A CT scan will be performed, accompanied by beta blocker medications (to slow heart rate) or nitroglycerin (to enlarge blood vessels) to improve picture quality, as needed.
* An MRI scan will be performed. Scans will be taken before, during, and after the patient receives vasodilators (to increase blood flow to the coronary arteries and detect blockages in heart blood vessels).
* Heart rate and function will be monitored with an electrocardiogram.
Conditions
Sponsors & Collaborators
-
National Heart, Lung, and Blood Institute (NHLBI)
lead NIH
Principal Investigators
-
Arlene Sirajuddin, M.D. · National Heart, Lung, and Blood Institute (NHLBI)
Eligibility
- Min Age
- 18 Years
- Max Age
- 100 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2009-07-01
- Primary Completion
- 2018-01-12
- Completion
- 2020-11-19
Countries
- United States
Study Locations
More Related Trials
-
Contrast- Enhanced Whole-Heart Coronary MRA at 3.0T (Tesla)
NCT02092428 ·Status: COMPLETED ·Phase: PHASE1
-
Rubidium-82 Position Emission Computed Tomography (PET) Versus Gated, Rest / Stress Technetium 99-m SPECT
NCT01179230 ·Status: COMPLETED
-
Technical Development of Cardiovascular Magnetic Resonance Imaging
NCT04927429 ·Status: RECRUITING
-
Validation of PET-MRI for Cardiovascular Disease
NCT02988531 ·Status: COMPLETED ·Phase: NA
-
Detection and Significance of Heart Injury in ST Elevation Myocardial Infarction.
NCT02072850 ·Status: ACTIVE_NOT_RECRUITING
-
Improved Diagnosis of Congenital Heart Disease by Magnetic Resonance Imaging Using Vasovist
NCT00668824 ·Status: UNKNOWN ·Phase: PHASE4
-
Intracoronary Thrombus Detection by Magnetic Resonance Imaging
NCT02776657 ·Status: COMPLETED ·Phase: NA
-
Myocardial Perfusion Assessment With Multidetector Computed Tomography
NCT00846079 ·Status: UNKNOWN ·Phase: PHASE3
-
Magnetic Resonance Imaging (MRI) Analysis of Coronary Artery Plaque Components
NCT00559728 ·Status: COMPLETED
-
Exercise Cardiac Magnetic Resonance Imaging Accuracy for Cardiovascular Stress Testing
NCT01592565 ·Status: COMPLETED ·Phase: NA
-
The Correlation of Heart Hemodynamic Status Between 320 Multidetector Computed Tomography, Echocardiography and Cardiac Catheterization in Patients With Coronary Artery Disease
NCT01083134 ·Status: UNKNOWN
-
Comparison of DSCT With IB-IVUS and Angiography in the Assessment of Coronary Artery Disease
NCT00622167 ·Status: TERMINATED ·Phase: NA
-
Dynamic Computed Tomography Myocardial Perfusion Imaging for Detection of Coronary Artery Disease
NCT03324308 ·Status: WITHDRAWN ·Phase: NA
-
CT Myocardial Perfusion to Guide the Diagnosis and Treatment of Patients With Stable Coronary Artery Disease (POTENTIAL)
NCT06119022 ·Status: RECRUITING ·Phase: NA
-
Validation of MRI Measurement of Cardiac Blood Flow
NCT00417625 ·Status: COMPLETED
-
New Heart Imaging Techniques to Evaluate Possible Heart Disease
NCT01399385 ·Status: RECRUITING ·Phase: NA
-
Combined Use of Coronary MDCTA, Coronary Doppler Ultrasonography and PET Perfusion in Diagnosing Coronary Artery Disease
NCT00627172 ·Status: COMPLETED
-
Comparison of Cardiac Imaging Techniques for Diagnosing Coronary Artery Disease
NCT01521468 ·Status: COMPLETED
-
A 10-Minute Cardiovascular Magnetic Resonance Protocol for Cardiac Disease
NCT04464655 ·Status: RECRUITING
-
Study of Blood Flow in Heart Muscle
NCT00001631 ·Status: COMPLETED ·Phase: PHASE2
-
Using Magnetic Resonance Imaging to Evaluate Heart Vessel Function After Angioplasty or Stent Placement Procedures
NCT00692991 ·Status: COMPLETED
-
Coronary Computed Tomographic Angiography Combined With CT-FFR in Intermediate-Risk Chest Pain Patients.
NCT07140419 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Myocardial Blood Flow by 15O Water PET
NCT01805193 ·Status: COMPLETED
-
Cardiac Magnetic Resonance Tomography for Heart Failure With Preserved Ejection Fraction
NCT05322109 ·Status: COMPLETED
-
Cardiac Magnetic Resonance Imaging for Detecting Endothelial Dysfunction
NCT00808535 ·Status: UNKNOWN