Heart study seeks clues to hidden cause of chest pain in women
NCT ID NCT03537586
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at why some women with chest pain or signs of heart disease have normal-looking large arteries but still have problems with tiny blood vessels in the heart. Researchers will measure platelet activity and inflammation during a heart catheterization to see if these factors are linked to microvascular dysfunction. The goal is to find better ways to diagnose and understand this condition, which affects up to 40% of women with stable heart disease.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If successful, this study could help identify non-invasive ways to diagnose coronary microvascular dysfunction and point toward new treatment targets.
- What could go wrong
- This is an observational study, not a treatment trial, so it will not directly benefit participants. The findings may not apply to men or other populations.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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206 people
The number who actually took part.
- Started
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Jun 2018
- Expected to finish
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Jun 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 125 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adult women age ≥18 years referred for coronary angiography * Stable ischemic heart disease, defined by ischemic symptoms and/or myocardial ischemia by stress testing * Administration of aspirin therapy prior to cardiac catheterization Exclusion Criteria: Pre-Cath Exclusion criteria: * Active bleeding and/or bleeding diathesis * Anemia (hemoglobin \<9 mg/dl) * Known thrombocytosis (platelet count \>500,000) * Know thrombocytopenia (platelet count \<100,000) * NSAIDs (e.g., ibuprofen, naproxen) within 3 days * Platelet antagonists other than aspirin and thienopyridines, within 7 days * Prior percutaneous coronary intervention or coronary artery bypass grafting * Acute myocardial infarction within 3 months * Severe valvular heart disease * Cardiogenic shock or mechanical circulatory support * New York Heart Association (NYHA) Functional Class III or IV heart failure * Ejection Fraction \<40% * Hypertrophic obstructive cardiomyopathy or severe left ventricular hypertrophy * Pregnancy * Contraindication to intravenous infusion of adenosine during coronary angiography, due to known hypersensitivity to adenosine, known or suspected bronchoconstrictive or bronchospastic lung disease (severe asthma), second- or third-degree AV block (except in patients with a functioning artificial pacemaker), or sinus node disease, such as sick sinus syndrome or symptomatic bradycardia, Angiographic Exclusion criteria: * Obstructive CAD (≥50% luminal obstruction in ≥1 major epicardial coronary arteries by invasive coronary angiography) * Unfavorable coronary artery anatomy for guidewire positioning (as determined by the angiographer or PI)
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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New York University School of Medicine
New York, New York, 10016, United States
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