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RECRUITING
NCT06597851
NA

Insulin Resistance and Coronary Microvascular Dysfunction in Patients with Myocardial Ischemia and Non-obstructive Coronary Artery Disease

Sponsor: Azienda Ospedaliera Universitaria Integrata Verona

View on ClinicalTrials.gov

Summary

The goal of this prospective study is to assess the correlation between coronary microvascular disfunction and insulin resistance in patients with INOCA. Patients with ANOCA and without diabetes will undergo invasive coronary microvascular assessment through coronary angiography and insulin resistance assessment through hyperinsulinemic-euglycemic clamp test. Patients enrolled in the study will be followed for a period of 2 years to monitor their clinical status.

Key Details

Gender

All

Age Range

18 Years - Any

Study Type

INTERVENTIONAL

Enrollment

40

Start Date

2024-06-24

Completion Date

2026-06-30

Last Updated

2024-09-19

Healthy Volunteers

No

Interventions

DIAGNOSTIC_TEST

Thermodilution based assessment of coronary microcirculation

Coronary microvascular assessment with the derivation of CFR, IMR and MRR will be performed using a standard pressure/thermodilution guidewire.

DIAGNOSTIC_TEST

Hyperinsulinemic-euglycemic Clamp test

Infusion of insulin and glucose adjusting rate of glucose infusion to maintaine plasma glucose around 90 mg/dL by monitoring plasma glucose levels every 5-10 minutes

Locations (1)

Azienda Ospedaliera Universitaria di Verona

Verona, VR, Italy