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| Name | Class |
|---|---|
| Peking Union Medical College Hospital | OTHER |
| Shanghai Jiao Tong University Affiliated Sixth People's Hospital | OTHER |
| Guangdong Provincial People's Hospital | OTHER |
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VALIDITY is a prospective, open-label, multicenter, randomized controlled trial (ClinicalTrials.gov number). The study was designed to evaluate the value of noninvasive anatomic CTA combined with functional CTP for the next clinical decision making and the added prognostic value of CTP beyond CTA.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CTA+CTP |
| ||
| CTA only |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CTA CTP | Diagnostic Test | CT Angiography myocardial CT Perfusion |
| |
| Measure | Description | Time Frame |
|---|---|---|
| MACE | death, myocardial infarction and unstable angina requiring hospitalization | 90 days, 6 months, 12 months, 24 months and 36 months |
| Measure | Description | Time Frame |
|---|---|---|
| invasive coronary angiography and revascularization | invasive coronary angiography and PCI or CABG | 90 days, 6 months, 12 months, 24 months and 36 months |
| he incidence of a composite of major complications from cardiovascular procedures and testing |
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Inclusion Criteria:
Exclusion Criteria:
(1) Diagnosed or suspected acute coronary syndrome (ACS) requiring hospitalization or urgent or emergent testing; Elevated troponin or creatine kinase-myocardial band (CK-MB).
(2) Hemodynamically or clinically unstable condition systolic blood pressure (BP) < 90 mmHg, atrial or ventricular arrhythmias, or persistent resting chest pain felt to be ischemic despite adequate therapy.
(3) Known CAD with prior Myocardial infarction (MI), percutaneous coronary intervention (PCI), coronary artery bypass graft (CABG).
(4) Known significant congenital, valvular (> moderate) or cardiomyopathic process (hypertrophic cardiomyopathy or reduced systolic left ventricular function (LVEF) ≤ 40%)) which could explain cardiac symptoms.
(5) Contraindication to undergoing CTA, including but not limited to: a. Allergy to iodinated contrast agent, b. Unable to receive beta blockers, c. creatinine ≥1.7 mg/dl or GFR≤30 ml/min , d. Pregnancy.
(6) Contraindication to ATP, including but not limited to: a. II or III atrioventricular block, b. bronchial asthma, c. hypotension (SBP<90mmHg), d. bronchial stenosis or bronchospasm, e. acute myocardial infarction, f. left main stenosis, g. unstable angina, h. allergy to aminophylline.
(7) Life expectancy < 2 years. (8) Unable to provide written informed consent or participate in long-term follow-up.
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Patients with stable chest pain and diagnosed of obstructive coronary stenosis (50-90%) by CTA were enrolled.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Yang Gao, MD | Contact | 86-10-88328651 | gaoyang226@126.com |
| Name | Affiliation | Role |
|---|---|---|
| Bin Lu, MD | Chinese Academy of Medical Sciences, Fuwai Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fuwai Hospital | Recruiting | Beijing | Beijing Municipality | 100037 | China |
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| Tianjin Medical University General Hospital |
| OTHER |
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| CTA |
| Diagnostic Test |
CT Angiography |
|
stroke, bleeding, anaphylaxis, renal failure
| 90 days, 6 months, 12 months, 24 months and 36 months |
| Quality of Life | Quality of Life (QOL) as Measured by Seattle Angina Scale Anginal Frequency Subscale | 90 days, 6 months, 12 months, 24 months and 36 |
| total medical cost | Assess and compare total medical cost for the two diagnostic testing arms by intention to treat | 90 days and 3 years |
| Xiehe Hospital | Recruiting | Beijing | Beijing Municipality | China |
|
| Guangdong General Hospital | Not yet recruiting | Guangzhou | Guangdong | 510080 | China |
|
| Shanghai Sixth People's Hospital | Recruiting | Shanghai | China |
|
| General hospital of tianjin medical university | Not yet recruiting | Tianjin | China |
|