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Heart blood flow during fast heartbeats in adults with heart disease

Measures heart blood flow and pressure during paced fast rhythms in adults with heart disease.

Key facts

Who runs it
Imperial College London
Where
London, United KingdomSee the site
Trial code
Registry title
Coronary Flow During Rapid Heart Rates
Status
Recruiting
People taking part
70 people, planned
Started
1 Aug 2023
Planned end
2 Jun 2026
Type of study
Observational, 4 groups
Treatments tested
  • Pressure and flow measurement during simulated VT
Record updated
27 March 2026

Who can take part

AI summary

From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.

The trial is looking for adults who are already booked for a coronary angiogram or coronary angioplasty. It studies how the heart's blood flow behaves during fast heart rates.

Age
18 years or older
Sex
All sexes can join.
Disease stage
People referred for coronary angiography or coronary angioplasty, able to have pressure and flow measurements inside the heart arteries and a stent procedure if needed.

Main reasons for not taking part

  • Cannot give valid consent
  • Pregnant or breastfeeding women
  • Unstable coronary artery disease (acute coronary syndrome)
  • Severe multivessel coronary artery disease that can have bypass surgery
  • Severe heart valve disease or severe (NYHA IV) heart failure

The registry criteria, word for word

Show all 9 criteriaShow less

Who can take part

  • Able to give valid consent
  • Referred for coronary angiography or coronary angioplasty
  • Suitable for percutaneous physiological interrogation and PCI when clinically indicated

Who cannot take part

  • Unstable coronary artery disease (acute coronary syndrome)
  • Severe multivessel coronary artery disease suitable for coronary artery bypass grafting
  • Severe heart valve disease
  • Severe (NYHA IV) heart failure
  • Unable to give valid consent
  • Pregnant or breastfeeding women

Where in United Kingdom

  • Imperial College NHS Foundation TrustLondon, United KingdomContact: Rahul BahlTaking people

About the trial

What the trial wants to find out

The goal of this observational study is to learn about the factors which determine how well ventricular tachycardia (VT) is tolerated. The main questions it aims to answer are:

Read full original descriptionShow less

1. What impact does coronary artery disease have on the ability for a patient to tolerate VT? 2. Does treatment of coronary artery disease with stents improve the tolerability of VT?

Participants who are undergoing a clinically indicated coronary angiogram or coronary angioplasty procedure will have measurements of blood pressure, coronary pressure and coronary flow made during pacing at a range of heart rates.

The 4 groups in the trial

  • Controls

    10 patients with unobstructed coronary arteries, normal microvascular function and normal LV function.

    Treatment: Pressure and flow measurement during simulated VT

  • Coronary artery disease

    25 patients with severe, single-vessel coronary artery disease of the proximal LAD or proximal other dominant vessel awaiting PCI.

    Treatment: Pressure and flow measurement during simulated VT

  • Microvascular dysfunction

    15 patients with without severe disease in any coronary artery, impaired microvascular function and normal LV function.

    Treatment: Pressure and flow measurement during simulated VT

  • Heart failure

    20 patients with LV systolic dysfunction (LVEF\<40%).

    Treatment: Pressure and flow measurement during simulated VT

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?

Contact the study team: see the registry record → Contacts and Locations

Print a page for my doctor

Data and sources

Registry record
Listed on ClinicalTrials.gov.
Official title
Coronary Epicardial and Microcirculatory Determinants of Ventricular Tachycardia Tolerability
Plain-language title
Heart blood flow during fast heartbeats in adults with heart diseaseGenerated from the registry record. The registry title is the official one.
AI summary
From the trial's eligibility criteria. Read by machine on 12 November 2026.
Record updated
27 March 2026