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The study is a double blind 2x2 factorial study. Patients with coronary disease will be randomly be assigned to L-arginine (9 g/day), creatine 21 g/d, both, or neither dietary supplement. The function of the endothelium will be tested using ultrasound before and after each treatment. These studies will help us understand why the endothelium is abnormal in patients with coronary artery disease and how L-arginine is acting on endothelial function.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Experimental |
| |
| 2 | Experimental |
| |
| 3 | Experimental |
| |
| 4 | Placebo Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Creatine | Dietary Supplement | Creatine 21 g daily |
| |
| L-arginine and creatine |
| Measure | Description | Time Frame |
|---|---|---|
| Brachial artery flow-mediated dilation | 5 days |
| Measure | Description | Time Frame |
|---|---|---|
| serum arginine, creatine, creatinine, homocysteine | 5 days |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Joseph A Vita, MD | Boston Medical Center | Principal Investigator |
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| ID | Term |
|---|---|
| D003324 | Coronary Artery Disease |
| ID | Term |
|---|---|
| D003327 | Coronary Disease |
| D017202 | Myocardial Ischemia |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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| ID | Term |
|---|---|
| D003401 | Creatine |
| D001120 | Arginine |
| ID | Term |
|---|---|
| D006146 | Guanidines |
| D000578 | Amidines |
| D009930 | Organic Chemicals |
| D000596 | Amino Acids |
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| Dietary Supplement |
L-arginine |
|
| l-arginine | Dietary Supplement | l-arginine 9 g daily |
|
| placebo, double | Dietary Supplement | placebo |
|
| D001161 |
| Arteriosclerosis |
| D001157 | Arterial Occlusive Diseases |
| D014652 | Vascular Diseases |
| D000602 |
| Amino Acids, Peptides, and Proteins |
| D024361 | Amino Acids, Basic |
| D000599 | Amino Acids, Diamino |
| D000601 | Amino Acids, Essential |