- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02560168
Analysis of Surface EKG Signals to Identify Myocardial Dysfunction in Patients at Risk for Coronary Artery Disease
Multidimensional Wavelet Analysis of Surface Electrocardiogram for Identifying Subclinical Myocardial Dysfunction in Patients at Risk for Coronary Artery Disease
- The MyoVista device is capable of detecting surface electrocardiogram signals and sensitive in detecting coronary artery disease compared to traditional computed tomography angiography (CTA)
- Electrophysiological signals at the cellular level of myocardium are related to specific patterns on the MyoVista device
- Changes in MyoVista device output and can indicative of future CAD outcomes and need for revascularization
Study Overview
Status
Conditions
Detailed Description
Background Myocardial ischemia is caused by myocardial oxygen supply and demand mismatch. Despite that coronary artery disease (CAD) is the major cause of myocardial ischemia, the symptoms may occur even in the absence of significant CAD. One of the mechanisms suggested for myocardial ischemia in these patients is microvascular ischemia (i.e. mismatch in microscopic vessels), affecting the myocardium (i.e. heart muscle) at the cellular level.
A novel electrocardiographic recording method, the iECG is capable of capturing and amplifying signals from the cellular level that are much lower biologic signals than those processed by a traditional electrocardiogram (ECG). These recordings focus on early detection of myocardial abnormalities by non-linear analysis of electrical activity and physiological phenomenon. This novel assessment might be capable of detecting subclinical myocardial dysfunction in a variety of heart diseases.
Specific Aims
Aim#1: Study the feasibility of detection of CAD using iECG compared to computed tomographic coronary angiography (CTA).
Aim#2: Study the association between patterns of iECG and myocardial dysfunction in patients without CAD compared to echocardiography.
Aim#3: Study the effect of changes in iECG output on future outcomes of CAD and need for revascularization.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
New York
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New York, New York, United States, 10029
- Icahn School of Medicine at Mount Sinai
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Sinus rhythms
- Age>18 years
- Both genders
Exclusion Criteria:
- Acute coronary syndromes(ACS)
- Contraindications to the administration of iodinated contrast
- Pregnancy
- Coronary artery bypass surgery (CABG)
- History of cardiac valvular replacement
- Implanted cardiac pacemaker
- Chest deformities
- Unwilling or unable to provide informed consent for study participation
- Enrolled in another clinical study
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Device Feasibility
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Coronary artery disease
Patients scheduled for computed tomographic coronary angiography (CTA)
|
MyoVista device is a standard EKG device with additional capabilities in detecting cellular level myocardial electrophysiological signals.
The device involves placing leads on the chest, similar to a traditional EKG device
Other Names:
Traditional method of detecting coronary artery disease.
CTA will be performed using 64-detector row or higher scanners with electrocardiographic gating in accordance with the Society of Cardiovascular Computed Tomography (SCCT) guidelines.
Approximately 80 to 100 ml of intravenous contrast, followed by 50 to 80 ml of saline, will be administered at a rate of 5 ml/s via a power injector through an antecubital vein (on forearm near the elbow).
Other Names:
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Colorized waveform
Time Frame: Day 1
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Spectrum analysis to represent levels and locations of cellular energy and automates the analysis into a simple indication of the level of myocardial abnormality if present.
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Day 1
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in coronary plaque burden
Time Frame: Baseline and 3 months
|
Change in coronary plaque burden at 3 months compared to baseline.
Coronary plaque burden will be assessed by assigning a score (0 to 5) according to the SCCT guidelines (0, Normal: absence of plaque and no luminal stenosis; 1, Minimal: plaque with <25% stenosis; 2, Mild: 25% to 49% stenosis; 3, Moderate: 50%to 69% stenosis; 4, Severe: 70% to 99% stenosis; 5, Complete occlusion)
|
Baseline and 3 months
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Myocardial wall motion score index (WMSI)
Time Frame: Baseline
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Myocardial wall motion score index (WMSI) will be obtained by dividing the left ventricle into 16 segments7.
Each of the segments will be assigned a score that is based on myocardial thickening (1 for Normal or hyperkinetic, 2 for hypokinetic, 3 for akinetic, 4 for dyskinesis, 5 for aneurysmal dilatation).
WMSI will be calculated as the sum of scores divided by the number of segments visualized.
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Baseline
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Serum electrolytes
Time Frame: 3 months
|
Serum electrolytes level to include sodium, potassium, calcium, and magnesium
|
3 months
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Serum creatinin level
Time Frame: 3 months
|
3 months
|
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Serum Brain natriuretic peptide (BNP) level
Time Frame: 3 months
|
3 months
|
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Serum cardiac enzymes
Time Frame: 3 months
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Serum cardiac enzymes include creatinin kinase MB fraction (CK-MB)
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3 months
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Serum high sensitivity C-reactive protein (hsCRP)
Time Frame: 3 months
|
3 months
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Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Partho P Sengupta, MD, DM, FACC, FASE, Icahn School of Medicine at Mount Sinai
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- GCO 15-0726
- Heart Test Laboratories, Inc. (Other Identifier: Icahn School of Medicine at Mount Sinai)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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