Suggestive Effects on the Diameter of Coronary Arteries

NCT ID: NCT00925834

Last Updated: 2009-06-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-07-31

Study Completion Date

2008-08-31

Brief Summary

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The aim of this randomized controlled pilot study was to answer the following questions:

1. Is it possible to affect the diameter of coronary arteries through a placebo injection, which is administered intracoronarily together with a standardized verbal suggestion of coronary vasodilation?
2. Is it possible to affect the diameter of coronary arteries through a pharmacologically underdosed nitroglycerine injection, which is administered intracoronarily together with a standardized verbal suggestion of coronary vasodilation?

Detailed Description

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The present study is a randomized controlled double-blind single center study in order to investigate the effects of verbal suggestions ('vasodilatation') in combination with either a placebo-intervention (sodium chloride 0.9%) or an underdosed vasodilating medication (nitroglycerine) on the diameter of coronary arteries. 60 patients with a clinical indication to undergo a coronary angiogram were recruited in the German Heart Centre Munich. Patients with acute myocardial events and the necessity for coronary intervention were excluded from the study. Patients were randomized into one of four arms of the two experiments:

Experiment A: Intracoronary (i.c.) placebo-infusion together with a standardized verbal suggestion of coronary vasodilation vs. i.c. placebo-infusion without verbal suggestion.

Experiment B: i.c. infusion of a very low dosed nitroglycerin together with a standardized verbal suggestion of coronary vasodilation vs. i.c. nitroglycerine infusion without verbal suggestion.

To our best knowledge this study is the first to investigate the modulating effects of verbal suggestions going along with medical interventions on the diameter of coronary arteries during heart catheterization.

Conditions

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Coronary Circulation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Sodium chloride

Control arm "A": Hidden intracoronary infusion of 5ml sodium chloride

Group Type PLACEBO_COMPARATOR

Verbal suggestions

Intervention Type BEHAVIORAL

Verbal suggestions of a vasodilatory effect on cardiac vessels

Sodium chloride and verbal suggestions

Experimental arm "A": Open intracoronary infusion of 5ml sodium chloride plus the suggestion of a vasodilatory effect on coronary vessels

Group Type EXPERIMENTAL

Verbal suggestions

Intervention Type BEHAVIORAL

Verbal suggestions of a vasodilatory effect on cardiac vessels

Nitroglycerin

Control arm "B": Hidden intracoronary infusion of 0.01mg nitroglycerin in 5 ml sodium chloride

Group Type ACTIVE_COMPARATOR

Verbal suggestions

Intervention Type BEHAVIORAL

Verbal suggestions of a vasodilatory effect on cardiac vessels

Nitroglycerin and verbal suggestions

Control arm "B": Open intracoronary infusion of 0.01 mg nitroglycerin in 5 ml sodium chloride plus the suggestion of a vasodilatory effect on cardiac vessels

Group Type EXPERIMENTAL

Verbal suggestions

Intervention Type BEHAVIORAL

Verbal suggestions of a vasodilatory effect on cardiac vessels

Interventions

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Verbal suggestions

Verbal suggestions of a vasodilatory effect on cardiac vessels

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* medical indication for heart catheterization
* written informed consent

Exclusion Criteria

* acute myocardial infarction
* acute elevation of cardiac enzymes
* regular intake of drugs containing nitroglycerin
* intolerance of nitroglycerin
* hypotension
* renal insufficiency
* diabetes mellitus
* hyperthyroidism
* pregnancy
* acute psychiatric disease
* cognitive impairment
* prinzmetal's angina
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ludwig-Maximilians - University of Munich

OTHER

Sponsor Role collaborator

German Heart Center

OTHER

Sponsor Role collaborator

Technical University of Munich

OTHER

Sponsor Role lead

Responsible Party

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Technische Universität München

Principal Investigators

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Joram Ronel, M.D.

Role: PRINCIPAL_INVESTIGATOR

Technical University of Munich

Karin Meißner, M.D.

Role: PRINCIPAL_INVESTIGATOR

Ludwig-Maximilians-Universität München

Julinda Mehilli, M.D.

Role: PRINCIPAL_INVESTIGATOR

Deutsches Herzzentrum München

Locations

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Department of Psychosomatic Medicine, Technische Universität München

Munich, , Germany

Site Status

Countries

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Germany

Other Identifiers

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SUGOKO

Identifier Type: -

Identifier Source: org_study_id

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