Insulin Resistance and Coronary Microvascular Dysfunction in Patients with Myocardial Ischemia and Non-obstructive Coronary Artery Disease
NCT06597851 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 40
Last updated 2024-09-19
Summary
The goal of this prospective study is to assess the correlation between coronary microvascular disfunction and insulin resistance in patients with INOCA.
Patients with ANOCA and without diabetes will undergo invasive coronary microvascular assessment through coronary angiography and insulin resistance assessment through hyperinsulinemic-euglycemic clamp test.
Patients enrolled in the study will be followed for a period of 2 years to monitor their clinical status.
Conditions
- Coronary Microvascular Dysfunction
- Coronary Microvascular Disease
- Insulin Resistance
Interventions
- DIAGNOSTIC_TEST
-
Thermodilution based assessment of coronary microcirculation
Coronary microvascular assessment with the derivation of CFR, IMR and MRR will be performed using a standard pressure/thermodilution guidewire.
- DIAGNOSTIC_TEST
-
Hyperinsulinemic-euglycemic Clamp test
Infusion of insulin and glucose adjusting rate of glucose infusion to maintaine plasma glucose around 90 mg/dL by monitoring plasma glucose levels every 5-10 minutes
Sponsors & Collaborators
-
Azienda Ospedaliera Universitaria Integrata Verona
lead OTHER
Principal Investigators
-
Roberto Scarsini MD PhD · Azienda Ospedaliera Universitaria di Verona
Study Design
- Allocation
- NA
- Purpose
- DIAGNOSTIC
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-06-24
- Primary Completion
- 2025-06-30
- Completion
- 2026-06-30
Countries
- Italy
Study Locations
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