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Myocardial Ischemia clinical trials

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NCT ID: NCT00400439 Completed - Clinical trials for Coronary Heart Disease

A Long Term Extension of Study NC19453 Evaluating Safety and Efficacy of RO4607381

Start date: January 2007
Phase: Phase 2
Study type: Interventional

This 2 arm study will assess the long term safety and efficacy of RO4607381 in patients with coronary heart disease or a coronary heart disease (CHD) risk equivalent who have completed study NC19453. Patients eligible to participate in the extension study will continue on the treatment they were originally assigned to ie RO4607381 (900mg po) or placebo daily, with concomitant daily atorvastatin (10 to 80mg po). The anticipated time on study treatment is 6 months post study NC19453, and the target sample size is approximately 100 individuals.

NCT ID: NCT00397163 Completed - Clinical trials for Coronary Heart Disease

Effect of Remote Ischemic Preconditioning in Patient Undergoing Cardiac Bypass Surgery

Start date: December 2010
Phase: Phase 1
Study type: Interventional

During coronary artery bypass graft surgery, injury occurs to the heart muscle. Some of this injury is due to the deprivation of oxygen and nutrients to the heart (a process called ischemia) during the surgery itself. The objective of this study is to examine whether remote ischaemic preconditioning (RIPC), in which the application of transient ischemia to the forearm and thigh (through the inflation of blood pressure cuffs placed on the right upper arm and upper thigh) may reduce the injury to the heart muscle sustained during cardiac surgery. The study hypothesis is: remote ischemic preconditioning will protect the heart and improve short-term clinical outcomes during coronary artery bypass graft surgery.

NCT ID: NCT00396929 Active, not recruiting - Myocardial Ischemia Clinical Trials

Efficiency of a New Therapy to Treat Stenosis of Coronary Vessels in Comparison With Two Already Admitted Therapies

Start date: August 2005
Phase: Phase 3
Study type: Interventional

The aim of the study is to examine the efficacy of Paclitaxel injection after a stent implantation in patients with stenosis in native coronary arteries to prevent restenosis in comparision with two admitted therapies.

NCT ID: NCT00396110 Completed - Clinical trials for Hypercholesterolemia

Evaluation of the Efficacy of Rosuvastatin in Daily Practice (TARGET)

Start date: February 2003
Phase: Phase 4
Study type: Observational

In this study the effect of the switch to rosuvastatin from another statin (fluvastatin, pravastatin, simvastatin, atorvastatin) was evaluated in high-risk patients with and without evident CHD and LDL-C ≥ 3.2 mmol/l. This was done in a large observational study (TARGET) representing daily practice. Primary end points analysis was the percentage of patients reaching the target of LDL-C < 3.2 mmol/l. Secondary outcomes were the changes of LDL-C, HDL-C, TC, Triglycerides (TG) and TC/HDL-C-ratio from baseline.

NCT ID: NCT00394680 Completed - Clinical trials for Myocardial Infarction

Stents, Drug Eluting Stents, and CABG- Financial and Clinical Impact.

Start date: November 2006
Phase: N/A
Study type: Observational

Options for coronary revascularization include stent implantation and coronary bypass surgery. Both modalities have their unique advantages and disadvantages in terms of clinical outcomes as well as financial impact on the medical system. We wish to investigate the late results of patients undergoing coronary revascularization, the need for re-hospitalization, re-intervention, patient satisfaction as well as the financial burden on the medical system. The study will be conducted by historical prospective review of hospital records in conjunction with records of the medical insurance companies ("HMO's").

NCT ID: NCT00393315 Completed - In-Stent Restenosis Clinical Trials

P E P C A D II, The Paclitaxel-Eluting PTCA-Balloon Catheter in Coronary Artery Disease to Treat In-Stent Restenoses

Start date: November 2005
Phase: Phase 2
Study type: Interventional

The aim of the study is to assess the safety and efficacy of the Paclitaxel-eluting PTCA-balloon in the treatment of in-stent restenoses in native coronary arteries with reference diameters between 2.5 mm and 3.5 mm and ≤ 22 mm in length for procedural success and preservation of vessel patency in comparison to the Paclitaxel-eluting Taxus™ stent.

NCT ID: NCT00392964 Completed - Clinical trials for Ischemic Heart Disease

Patterns of Antiacids Use in Patients With IHD Admitted to Department of Internal Medicine

Start date: January 2006
Phase: N/A
Study type: Observational

There is substantial, continuing, and unexplained rise in prescribing of proton pump inhibitors. It is unknown whether their use in practice has corresponded to their licensed indications. Although the indications for H2RA or PPI administration in the treatment of acid-related diseases and the prevention of gastric mucosal damage have been well defined in the medical literature, the perception of benefit from their use frequently tends to be extrapolated to all patients in general, leading to an excessive consumption of these drugs in general practice. To date, however, little has been published with regard to the overall use or misuse of these drugs in hospital populations in ischemic heart disease patients as a secondary prevention to Aspirin use. We will undertake a 6-months retrospective survey (about 1200 patients) to evaluate the use of acid-suppressive medications in the general internal medicine ward of Rambam Hospital. We will extract all records of prescribing of a proton pump inhibitor within Rambam Hospital computerized patients file program (Premetheuos) in period of half year, categorized and analyze them using statistical X2 test.

NCT ID: NCT00390585 Completed - Clinical trials for Renal Insufficiency, Chronic

Iodixanol vs. Iomeprol to Prevent Contrast-Induced Nephropathy After Coronary Intervention (CONTRAST)

Start date: July 2006
Phase: Phase 4
Study type: Interventional

The purpose of this study is to demonstrate that Iodixanol 320 is associated with a lower incidence of contrast-induced nephropathy (CIN) when compared with hyperosmolar contrast medium Iomeprol 350 in patients with impaired renal function undergoing percutaneous coronary interventions (PCI).

NCT ID: NCT00388934 Completed - Clinical trials for Coronary Artery Disease

Comparison of Cypher Select and Taxus Express Coronary Stents

SORT-OUTII
Start date: August 2004
Phase: Phase 4
Study type: Interventional

Randomized nine months clinical comparison of implantation of Taxol eluting (Taxus Express) and Sirolimus eluting (Cypher Select) stents in non-selected patients with coronary artery disease.

NCT ID: NCT00388245 Not yet recruiting - Clinical trials for Ischemic Heart Disease

Revascularization in Heart Failure Trial – REHEAT 2

Start date: January 2007
Phase: Phase 4
Study type: Interventional

REHEAT 2 study is designed as a prospective, randomised trial comparing two strategies of myocardial revascularisation (PCI vs CABG) in patients with ischemic cardiomyopathy and low left ventricular ejection fraction.Patients will undergo in random way PCI or CABG procedure. The aim the study is to assess the improvement of left ventricle systolic function and comparing recent (30 days) and late (12 months) results of surgical (CABG) and percutaneous (PCI) revascularization.