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The MICRO-SNAPE registry will collect data from patients undergoing investigation of microvascular dysfunction and coronary spasm in Europe and North America.
Microvascular dysfunction is an important determinant of patients´quality of life and prognosis, which however remains poorly classified. Given the high burden of disease and the severity of the functional impairment in these patients, the lack of a clear understanding and diagnosis has a potentially large clinical importance. It is therefore important to better describe the phenotype of these patients. The MICRO-SNAPE registry will allow investigating these associations. Patient data as collected during the local clinical practice and at the operator's discretion, will be retrospectively entered in this non-interventional registry in anonymous form.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Invasive assessment of coronary vasomotor function | All lesions undergoing assessment of coronary microvascular dysfunction and coronary spasm using coronary pressure wires. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Coronary physiology assessment | Diagnostic Test | Resting distal coronary to aortic pressure ratio, resting flow ratio, fractional flow reserve, Coronary Flow Reserve and Microvascular resistance using the thermodilution method and papaverin or adenosine, Resting distal coronary to aortic pressure ratio, resting flow ratio, fractional flow reserve, Coronary Flow Reserve and Microvascular resistance using the thermodilution method and acetylcholine. |
| Measure | Description | Time Frame |
|---|---|---|
| Identification of endotypes of coronary vasomotor function | Patients will be classified in different endotypes according to the pattern of their responses to endothelium-dependent and independent vasodilators. | immediately after the invasive measurement |
| Measure | Description | Time Frame |
|---|---|---|
| Accuracy of clinical criteria for the diagnosis of microvascular and epicardial spasm | The clinical criteria commonly used for the diagnosis of spasm (based on ECG and angina) will be validated against the benchmark invasive measurements | immediately after the invasive measurement |
| Normal values expressing endothelium-dependent coronary flow reserve |
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Inclusion Criteria:
Exclusion Criteria:
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Patients with angina but no epicardial disease.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Center of Cardiology, Cardiology I, university hospital Mainz | Recruiting | Mainz | Rhineland-Palatinate | 55131 | Germany |
Upon legitimate request
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| ID | Term |
|---|---|
| D017566 | Microvascular Angina |
| D003329 | Coronary Vasospasm |
| ID | Term |
|---|---|
| D000787 | Angina Pectoris |
| D017202 | Myocardial Ischemia |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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|
|
Acetylcholine-induced coronary flow reserve in subjects without microvascular dysfunction. |
| immediately after the invasive measurement |
| Sex impact on coronary vasospasm measures | Difference between males and females in microvascular and epicardial spasm measures | immediately after the invasive measurement |
| Coronary bridge and epicardial spasm | Impact of coronary brudge on the incidence of epicaridal spasm | immediately after the invasive measurement |
| Acetylcholine versus adenosine responses | Comparison of adenosine- versus acetylcholin-induced microvascular dilatation (IMR) | immediately after the invasive measurement |
| Normal values and associations of resting microvascular resistances | We will assess the normal values of resting microvascular resistances using a frequentistic approach and study their associations with comorbidities and clinical parameters. | Immediately upon measurment |
| D014652 |
| Vascular Diseases |
| D003327 | Coronary Disease |