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Note: This record shows only 22 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: ISRCTN
Last refreshed on: 13 January 2015
Main ID:  ISRCTN44611940
Date of registration: 29/09/2006
Prospective Registration: No
Primary sponsor: Record Provided by the NHSTCT Register - 2006 Update - Department of Health
Public title: A prospective, randomised, controlled trial to study the effect of verapamil and adenosine on the TIMI frame count
Scientific title:
Date of first enrolment: 07/05/2003
Target sample size: 105
Recruitment status: Completed
URL:  http://isrctn.com/ISRCTN44611940
Study type:  Interventional
Study design:  Randomised controlled trial (Not Specified)  
Phase: 
Countries of recruitment
United Kingdom
Contacts
Name:    
Address: 
Telephone:
Email:
Affiliation: 
Name: Kunadian    Vijayalakshmi
Address:  The James Cook University Hospital Cardiothoracic Department Marton Road Middlesbrough TS4 3BW Cleveland United Kingdom
Telephone: +44 (0)1642 282410
Email: Kunadianvijay@aol.com
Affiliation: 
Key inclusion & exclusion criteria
Inclusion criteria: 35 in each group, total 105 patients undergoing angiography and/or angioplasty in the setting of an acute coronary syndrome.
Patients will be randomised if their coronary arteries show evidence of the slow-flow phenomenon and all patients undergoing angiography and/or angioplasty in the setting of an acute coronary syndrome will also be randomised.
Patients who are listed for elective or emergency angiography and/or angioplasty will be suitable for the study.

Exclusion criteria: 1. Asthmatics
2. Patients with renal impairment
3. Those with left main stem disease
4. Patients with a BP<90mmHg and with a heart rate of >100 bpm
5. Patients with heart block


Age minimum:
Age maximum:
Gender: Not Specified
Health Condition(s) or Problem(s) studied
Urological and Genital Diseases: Angiography and/or angioplasty
Urological and Genital Diseases
Angiography and/or angioplasty
Intervention(s)
Patients undergoing coronary angiography with a view to urgent or emergency angioplasty will be consented and will be given a patient information leaflet. Patients will be randomised if their coronary arteries show evidence of the slow-flow phenomenon and all patients undergoing angiography and/or angioplasty in the setting of an acute coronary syndrome will also be randomised. Normal saline, verapamil or adenosine will be administered and pictures of the heart arteries will be taken. At the end of the procedure the TIMI frame count (number of picture frames required for the dye to travel from the top end of the artery to the bottom end) will be calculated.
Primary Outcome(s)
1. Improvement in TIMI frame count.
2. Post-procedural left ventricular function (measured by echocardiography).
3. Speed and extent of ST segment recovery.
4. Cardiac enzyme measurements.
Secondary Outcome(s)
Not provided at time of registration
Secondary ID(s)
N0227164222
Source(s) of Monetary Support
South Tees Hospitals NHS Trust (UK)
Secondary Sponsor(s)
Ethics review
Results
Results available:
Date Posted:
Date Completed:
URL:
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