Unique ID issued by UMIN | UMIN000000530 |
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Receipt number | R000000641 |
Scientific Title | A Randomized Investigation of Short-term Prognosis and Costs and Long-term Prognosis of Medical vs. Coronary Intervention for Low-risk Stable Effort Angina |
Date of disclosure of the study information | 2006/11/27 |
Last modified on | 2006/11/27 21:18:39 |
A Randomized Investigation of Short-term Prognosis and Costs and Long-term Prognosis of Medical vs. Coronary Intervention for Low-risk Stable Effort Angina
Japanese Stable Angina Pectoris Study (JSAP Study)
A Randomized Investigation of Short-term Prognosis and Costs and Long-term Prognosis of Medical vs. Coronary Intervention for Low-risk Stable Effort Angina
Japanese Stable Angina Pectoris Study (JSAP Study)
Japan |
low-risk stable effort angina
Cardiology |
Others
NO
To determine which of medical therapy and coronary intervention as the initial treatment is better for patients with low-risk stable effort angina indicated for intervention at the viewpoint of the short-term and long-term prognoses of intervention and its costs during the initial 1 year.
Efficacy
Confirmatory
Not applicable
death (total death, cardiac death, sudden death), acute coronary syndrome (Q-wave infarction, non-Q wave infarction, unstable angina pectoris), and cerebrovascular diseases such as cerebral infarction and cerebral hemorrhage
angina pectoris classification and evaluation of survival
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Uncontrolled
YES
2
Treatment
Maneuver |
medical therapy as the initial treatment
coronary intervention as the initial treatment
30 | years-old | <= |
75 | years-old | >= |
Male and Female
low-risk stable effort angina indicating 1-vessel or 2-vessel disease without stenotic lesions in LMT or the ostial leasion in LAD (within 5 mm from the bifurcation) in whom CAG shows significant stenosis in the culprit lesion, and PCI/CABG is indicated
1) Lesions in LMT or at the ostial site of LAD (within 5 mm from bifurcation)
2) 3-vessel disease
3) 2-vessel chronic total obstruction
4) 1-vessel chronic complete obstruction for which the possibility of PCI success is low (long-term chronic complete obstruction, long complete obstruction lesions)
5) Acute myocardial infarction
6) Ejection fraction of left ventricle less than 50%
7) Lesions not indicated for PCI/CABG (thin lateral branches, peripheral branches)
8) Complications such as bleeding tendency, DIC, and severe pneumonia
9) Impaired renal function (Cr > 1.5 mg/dl)
10) Patients with severe ASO and aneurysms not indicated for PCI/CABG
11) Patients with asymptomatic myocardial ischemia not complicated by effort angina pectoris
12) Patients with unstable angina pectoris who newly developed symptoms or showed aggravation within 6 weeks
13) CABG patients with graft stenosis as a responsible lesion
400
1st name | |
Middle name | |
Last name | Hisayoshi Fujiwara, MD |
Gifu University Graduate School of Medicine
Second Department of Internal Medicine
Yanagido 1-1, Gifu City, Gifu, JAPAN
058-230-6523
1st name | |
Middle name | |
Last name | Kazuhiko Nishigaki, MD |
Gifu University Graduate School of Medicine
Second Department of Internal Medicine
Yanagido 1-1, Gifu City, Gifu, JAPAN
058-230-6523
http://poppy.ac/jsap/
nissy@gifu-u.ac.jp
The JSAP Study Investigators
Health and Labour Sciences Research Grant (Clinical Research for Evidence Based Medicine) from the Japanese Ministry of Health, Labour and Welfare
Japan Heart Foundation
NO
2006 | Year | 11 | Month | 27 | Day |
Unpublished
Completed
2002 | Year | 02 | Month | 01 | Day |
2002 | Year | 02 | Month | 01 | Day |
2006 | Year | 05 | Month | 01 | Day |
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2007 | Year | 03 | Month | 01 | Day |
2006 | Year | 11 | Month | 27 | Day |
2006 | Year | 11 | Month | 27 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000000641
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