Efficacy of Enhanced External Counterpulsation on Ventricular Function

NCT ID: NCT03106116

Last Updated: 2020-11-02

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

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-03-15

Study Completion Date

2019-03-30

Brief Summary

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The purpose of this study is to investigate the efficacy of Enhanced External Counterpulsation (EECP) therapy on ventricular function in patients with coronary heart disease

Detailed Description

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Patients with coronary heart disease will be randomized into two groups:

standard medical treatment and standard medical treatment plus EECP intervention. Ventricular structure and function will be measured and compared.

Conditions

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Coronary Heart Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Enhanced External Counterpulsation

Experimental: Enhanced External Counterpulsation (EECP) intervention on top of guideline- driven standard medical therapy for coronary heart disease

Group Type EXPERIMENTAL

Experimental: Enhanced External Counterpulsation

Intervention Type DEVICE

Enhanced External Counterpulsation (EECP) is a technique for assisting the circulation by decreasing the afterload of the left ventricle and augmenting the diastolic pressure externally by applying a negative pressure to the lower extremities during cardiac systole. EECP therapy has been approved by the United States Food and Drug Administration (FDA) for the treatment of refractory angina and heart failure. Administration of 35-36 hours EECP therapy over a 7 week period, one hour session every working day.

Standard medical therapy

Intervention Type DRUG

Guideline- driven standard medical treatment for 7 weeks

Control

Guideline- driven standard medical therapy for 7 weeks without Enhanced External Counterpulsation intervention

Group Type ACTIVE_COMPARATOR

Standard medical therapy

Intervention Type DRUG

Guideline- driven standard medical treatment for 7 weeks

Interventions

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Experimental: Enhanced External Counterpulsation

Enhanced External Counterpulsation (EECP) is a technique for assisting the circulation by decreasing the afterload of the left ventricle and augmenting the diastolic pressure externally by applying a negative pressure to the lower extremities during cardiac systole. EECP therapy has been approved by the United States Food and Drug Administration (FDA) for the treatment of refractory angina and heart failure. Administration of 35-36 hours EECP therapy over a 7 week period, one hour session every working day.

Intervention Type DEVICE

Standard medical therapy

Guideline- driven standard medical treatment for 7 weeks

Intervention Type DRUG

Other Intervention Names

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EECP Guideline- driven standard medical therapy

Eligibility Criteria

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Inclusion Criteria

* More than 50% stenosis of left main trunk and 3 epicardial coronary arteries and their large branches showed by coronary angiography
* Or history of myocardial infarction
* Or history of prior revascularization
* Signed informed consent to participate in the study

Exclusion Criteria

* Clinically significant valvular heart disease
* Aortic aneurysm
* Congenital heart disease
* Acute myocarditis
* Arrhythmias significantly interfere with the triggering of the EECP device
* History of cerebral hemorrhage
* Hemorrhagic disease
* Lower limb infection, phlebitis
* Deep venous thrombosis
* Malignant disease
* International normalized ratio (INR) \> 2.5
* Uncontrolled hypertension, defined as systolic blood pressure \> 180mmHg or diastolic blood pressure \> 110mmHg
* Pregnancy
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sun Yat-sen University

OTHER

Sponsor Role lead

Responsible Party

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Yan Zhang

Associate professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Yan Zhang, M. D.

Role: PRINCIPAL_INVESTIGATOR

First Affiliated Hospital, Sun Yat-Sen University

Zhensheng Zheng, M. D.

Role: STUDY_DIRECTOR

First Affiliated Hospital, Sun Yat-Sen University

Locations

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The First Affiliated Hospital, Sun Yat- sen University

Guangzhou, Guangdong, China

Site Status

Countries

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China

Other Identifiers

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EECP-3

Identifier Type: -

Identifier Source: org_study_id