Cocoa Flavanol and Coronary Vasomotion Vascular Function in Patients With Coronary Artery Disease
Study Details
Study Description
Brief Summary
The aim of the present study is to investigate whether the ingestion of a cocoa flavanol-containing drink compared to a flavanol-free drink, improves coronary vasomotion and platelet function in patients with overt coronary artery disease acutely (after 2 hours)
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: flavanol-containing drink flavanol-containing drink |
Dietary Supplement: flavanol-rich drink vs flavanol-free drink
Patients will be randomized to either a flavanol-rich drink or a flavanol-free drink of similar volume, taste and calory and sugar content
|
Placebo Comparator: flavanol-free drink flavanol-free drink matched for taste and calories |
Dietary Supplement: flavanol-rich drink vs flavanol-free drink
Patients will be randomized to either a flavanol-rich drink or a flavanol-free drink of similar volume, taste and calory and sugar content
|
Outcome Measures
Primary Outcome Measures
- coronary endothelial function as assessed as response to cold pressor test [2 hours]
Primary endpoint will be the improvement in coronary endothelial function in response to cold pressor testing (i.e. % reduction in coronary artery constriction compared to baseline) 2h after ingestion of a cocoa flavanol rich-drink or placebo drink, respectively. In a subset of patients daily consumption of a flavanol-drink will be assessed and outcomes measured after 3-4 weeks.
Eligibility Criteria
Criteria
Inclusion Criteria:
Patients with coronary artery disease undergoing elective coronary angiography with or without the need of coronary intervention
-
Age 20 - 80
-
Written obtained informed consent
Exclusion Criteria:
-
Acute ST-elevation myocardial infarction
-
Acute non-ST-elevation myocardial infarction (enzyme positive)
-
Ventricular tachy-arrythmias or AV-Block >I°
-
Renal insufficiency (GFR MDRD < 30ml/min) or liver disease (ALT or AST >150 IU)
-
Pregnancy
-
Known allergy to compounds of cocoa product
-
Known allergy to contrast media
-
Known allergy to nuts
-
Intolerance to coffein and theobromin
-
Acute infectious disease
-
Disease with systemic inflammation (e.g. rheumatoid arthritis, M. Crohn)
-
Participation in another study within the last month
-
Concomitant vitamin supplements and herbal remedies, as well as fruit and tea extracts
-
No study visits ± 1 week before Eastern, Christmas and New Year holyday (altered eating habits)
-
Extreme eating habits (as assessed by a questionnaire)
-
Alcohol or drug abuse
-
Lactose intolerance
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Cardiovascular Center Cardiology Univeristy Hospital of Zurich | Zurich | Switzerland | ||
2 | Universisty Hospital of Zurich, Cardiovascular Center Cardiology | Zurich | Switzerland |
Sponsors and Collaborators
- University of Zurich
Investigators
- Principal Investigator: Thomas F Lüscher, Prof MD, University Hospital Zurich, Cardiovascular Center Cardiology
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- EK2012-0201