Effect of Beta-blockers on Coronary Flow and Resistance in Patients With ANOCA

Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age18+
SponsorVZW Cardiovascular Research Center Aalst

About this trial

The goal of this clinical trial is to learn whether beta-blockers can improve coronary blood flow and reduce resistance in patients with angina and no obstructive coronary arteries (ANOCA).

The main questions it aims to answer are:

* Do beta-blockers improve coronary blood flow in patients with ANOCA? * Do beta-blockers reduce coronary microvascular resistance in these patients?

Researchers will compare a beta-blocker to a placebo to see if the medication has measurable effects on coronary circulation.

Participants will:

* Receive a beta-blocker or a placebo * Undergo specialized heart tests (such as coronary flow and resistance measurements) before and after treatment.

Eligibility criteria

Qualifiers

Patients undergoing diagnostic coronary angiography for suspected angina pectoris who are found to have ANOCA i.e. an FFR >0.80 and no diameter stenosis >50%

Normal, TIMI 3 flow at angiography

Stable haemodynamics

Disqualifiers

Clinical signs or symptoms of congestive heart failure

Severe valvular heart disease requiring either surgical or percutaneous intervention

History of coronary artery bypass grafting

Tortuous coronary anatomy in which wire manipulation could be complex

Trial design

Treatments tested in this trial

  • Saline (NaCl)
  • Metoprolol Tartrate

Treatment groups

46 Participants
are divided into 2 treatment groups