Effects of Anxiety on Coronary Microcirculatory Function in Hypertensive Patients

  • STATUS
    Recruiting
  • End date
    Dec 30, 2022
  • participants needed
    200
  • sponsor
    Peking University Third Hospital
Updated on 19 July 2021

Summary

This study assessed anxiety status and coronary flow reserve in hypertensive patients to investigate the effects of anxiety on coronary microcirculatory function.

Description

This study assessed anxiety status and coronary flow reserve in hypertensive patients to investigate the effects of anxiety on coronary microcirculatory function.The hypertensive patients with chest pain for suspicious coronary heart disease were seriesly enrolled. All the patients underwent coronary angiography or coronary CT angiography to exclude the diagnosis of obstructive coronary artery disease . Coronary flow reserve (CFR) is an integrated measure of flow through both the large epicardial arteries and the coronary microcirculation. In the absence of obstructive stenosis of the epicardial arteries, CFR is an indicator of coronary microcirculatory functionwhich can be assayed by Transthoracic Doppler echocardiography. The symptoms of anxiety were measured with Self-rating Anxiety Scale (SAS) . According to the SAS score,the patients were divided into anxiety group and non-anxiety group.We assessed the association of anxiety with coronary microcirculatory function.

Details
Condition ANXIETY NEUROSIS, Coronary Microvascular Disease, anxiety state, state anxiety
Treatment coronary flow reserve (CFR)
Clinical Study IdentifierNCT04960371
SponsorPeking University Third Hospital
Last Modified on19 July 2021

Eligibility

Yes No Not Sure

Inclusion Criteria

Patients with clear diagnosis of hypertension (1 year, drug control within 140/90mmHg); (2) Significant coronary artery stenosis was excluded by imaging within 1 year (50%); (3) Age between 18 and 80

Exclusion Criteria

CHD, heart valve disease, congenital heart disease, cardiomyopathy and pericardial disease; (2) Left ventricular ejection fraction (LVEF) <50%; (3) Increased markers of myocardial injury; (4) Diabetes mellitus, connective tissue disease, chronic obstructive pulmonary disease and malignant tumor; 5) Severe hepatic and renal impairment (Cr 120 umol/L, ALT 120 umol/L); 6) Pregnant women
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