RIVENDEL: Ivabradine to Improve Endothelial Function in Patients With Coronary Artery Disease
Study Details
Study Description
Brief Summary
This study evaluates the effect of ivabradine on endothelial function in patients with coronary artery disease (CAD) after complete revascularization with percutaneous coronary angioplasty (PCI). At least 30 days after PCI, patients will be randomized to receive ivabradine 5 mg twice daily or to continue with standard medical therapy.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 4 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: Ivabradine group Ivabradine 5 mg twice daily + standard medical therapy |
Drug: Ivabradine
Ivabradine 5 mg twice daily
Drug: Standard medical therapy
Standard medical therapy for patients with coronary artery disease undergoing percutaneous coronary interventions
|
Other: Control group Standard medical therapy |
Drug: Standard medical therapy
Standard medical therapy for patients with coronary artery disease undergoing percutaneous coronary interventions
|
Outcome Measures
Primary Outcome Measures
- Flow-mediated dilation of the brachial artery [8 weeks]
Secondary Outcome Measures
- Number of patients with flow-mediated dilation of the brachial artery <7% [8 weeks]
- Endothelium-independent dilation of the brachial artery [8 weeks]
Dilation of the brachial artery after administration of 0.5 mg sublingual nitroglycerin
- Correlation between heart rate and flow-mediated dilation of the brachial artery [8 weeks]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
history of stable coronary disease
-
complete coronary revascularization with PCI at least 1 month prior to recruitment
-
sinus rhythm
-
absence of anginal symptoms
Exclusion Criteria:
-
resting heart rate <60 beats per minute
-
severe reduction of left ventricle ejection fraction (<40%)
-
coronary artery by-pass surgery
-
myocardial infarction, stroke or cerebral transient ischemic attack within the previous 6 months
-
implanted pacemaker, cardioverter, or defibrillator
-
sick sinus syndrome
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sinoatrial block
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congenital long QT
-
complete atrioventricular block
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Campus Bio-Medico University | Rome | RM | Italy | 00128 |
Sponsors and Collaborators
- Campus Bio-Medico University
Investigators
- Principal Investigator: Fabio Mangiacapra, MD, PhD, Campus Bio-Medico University
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- RIVENDEL