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| ID | Type | Description | Link |
|---|---|---|---|
| CIC0203/045 | |||
| LOC/04-05 |
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Conventional coronary angiography is the recommended procedure in detection of coronary stenosis in patients with idiopathic cardiomyopathy. The aim of this prospective study is to assess diagnostic accuracy of multislice spiral computed tomography coronary angiography in patients with idiopathic cardiomyopathy in sinus rhythm, compared to conventional coronary angiography.
The principal aim of this study is to assess the diagnostic accuracy (sensitivity, specificity, predictive values) of multislice spiral computed tomography (MSCT) coronary angiography among patients having idiopathic hypokinetic dilated cardiomyopathy in sinus rhythm, compared to conventional coronary angiography. The secondary aims are to assess the performance of MSCT in coronary sinus anatomy assessment, and in quantitative measurement of left ventricular anatomical criteria (telediastolic diameter, septal and posterior wall thickness, and ejection fraction) compared to echocardiography. Lastly, renal tolerance of MSCT will be studied. This prospective monocentric study will include 120 patients scheduled to undergo coronary angiography for etiologic diagnosis of idiopathic cardiomyopathy (defined by a left ventricle echographic ejection fraction ≤ 40 %, without anamnestic or electrocardiographic arguments in favour of coronary artery disease) in sinus rhythm. MSCT will be performed within 3 months after conventional coronary angiography, with blinded analysis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Active Comparator | conventional coronary angiography |
|
| 2 | Experimental | multislice spiral computed tomography coronary angiography |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Multislice spiral computed tomography coronary angiography | Procedure |
|
| |
| Measure | Description | Time Frame |
|---|---|---|
| Detection of > 50% coronary stenosis | During assessment | |
| Sensibility, specificity, positive and negative predictive values of MSCT | During assessment |
| Measure | Description | Time Frame |
|---|---|---|
| Detection of patients with one or more coronary stenosis | During assessment | |
| Detection of patients with 3-vessel disease | During assessment | |
| Left ventricle telediastolic diameter |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Dominique Boulmier, MD | Rennes University Hospital | Principal Investigator |
| Bruno Laviolle, MD | Rennes University Hospital | Study Chair |
| David Veillard, MD | Rennes University Hospital | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Unité Fonctionnelle d'Hémodynamique et Cardiologie Interventionnelle - Hôpital Pontchaillou | Rennes | 35033 | France |
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| ID | Term |
|---|---|
| D009202 | Cardiomyopathies |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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| conventional coronary angiography |
| Procedure |
|
| During assessment |
| Septal telediastolic thickness | During assessment |
| Posterior wall telediastolic thickness | During assessment |
| Detection of coronary sinus branches | During assessment |
| Measurement of coronary sinus branches diameter | During assessment |
| Assessment of renal function 7 days after MSCT | During assessment |