Premature Coronary Artery Disease in Women - Risk Factors and Prognosis (PRECADIW)
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Cardiovascular risk in women is systematically underestimated by both - society and physicians. Women younger than 50 years of age with acute coronary syndrome have 2x higher mortality compared with age-matched men. A number of common vascular-disease-related conditions are more frequent in women than in men. Women develop a more severe or different form of vascular disease then men. Variability of onset, relative risk, and the synergy of traditional and novel risk factors creates a challenge to physicians possibly resulting in suboptimal management and disregard in women presenting with angina symptoms.
During last 10 years the rise in coronary artery disease (CAD) prevalence in younger women is observed. Emerging data suggest a unique risk profile in women (hypoestrogenemia with adverse effects of a protracted dysmetabolic state). The risk factors assessment and the risk factors profiles in women that are associated with CAD may be different than in men and thus merit reassessment.
Purpose The primary objective of this study is to determine characteristics and prognosis of women with premature coronary artery disease and to evaluate the extent of atherosclerosis
Condition |
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Coronary Atherosclerosis |
Study Type: | Observational |
Study Design: | Observational Model: Case Control Time Perspective: Prospective |
Official Title: | Premature Coronary Artery Disease in Women - Risk Factors and Prognosis |
- Comparison of clinical characteristics between study group and matched controls [ Time Frame: 1-year (short-term), 4-year (long-term) ] [ Designated as safety issue: No ]
- Association of clinical factors to extent and advance of atherosclerosis [ Time Frame: 1-year (short-term), 4-year (long-term) ] [ Designated as safety issue: No ]
- Predictive role of clinical factors on prognosis in terms of MACE [ Time Frame: 1-year (short-term), 4-year (long-term) ] [ Designated as safety issue: No ]
- Predictive role of clinical factors on prognosis in terms of Vascular Events [ Time Frame: 1-year, 2-year, 3-year, 4-year ] [ Designated as safety issue: No ]
- Predictive role of clinical factors on prognosis in terms of components of Vascular Events and total mortality [ Time Frame: 1-year, 2-year, 3-year, 4-year ] [ Designated as safety issue: No ]
Biospecimen Retention: Samples With DNA
whole blood, serum
Enrollment: | 670 |
Study Start Date: | April 2005 |
Study Completion Date: | September 2010 |
Primary Completion Date: | June 2010 (Final data collection date for primary outcome measure) |
Groups/Cohorts |
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1
323 women with established coronary artery disease before 55 year of age
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2
347 clinically healthy, age matched women selected from the National Health Survey WOBASZ study with negative history of CVD or negative exertional chest pain.
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Show Detailed Description
Ages Eligible for Study: | 18 Years to 55 Years |
Genders Eligible for Study: | Female |
Accepts Healthy Volunteers: | Yes |
Sampling Method: | Non-Probability Sample |
Cases: Consecutive women with onset of evident CAD before 55 years of age (admitted to coronary angiography because of acute coronary syndrome, stable angina or revascularization procedure Controls: age-matched healthy women selected from participants examined between 2004-2006 in the National Health Survey - WOBASZ study with negative history of exertional chest pain, angina, hospitalization of revascularization procedures or coronary treatment
Inclusion Criteria:
- Patients: Consecutive women with onset of evident CAD before 55 years of age (admitted to coronary angiography because of acute coronary syndrome, stable angina or revascularization procedure)
- agreement to participate the study
- Controls : age-matched healthy women selected from participants examined between 2004-2006 in the National Health Survey - WOBASZ study with negative history of exertional chest pain, angina, hospitalization of revascularization procedures or coronary treatment.
Exclusion Criteria:
- inability to give informed consent death before discharge during the index hospitalization
Poland | |
Institute of Cardiology, | |
Warsaw, Poland, 04-628 |
Principal Investigator: | Barbara M Lubiszewska | Institute of Cardiology, Warsaw, Poland |
Publications:
Responsible Party: | Institute of Cardiology, Warsaw, Poland |
ClinicalTrials.gov Identifier: | NCT00544739 History of Changes |
Other Study ID Numbers: | 2 P05B 013 28 |
Study First Received: | October 15, 2007 |
Last Updated: | January 16, 2012 |
Health Authority: | Poland: Ministry of Science and Higher Education |
Keywords provided by Institute of Cardiology, Warsaw, Poland:
Coronary Artery Disease Premature Female |
Additional relevant MeSH terms:
Atherosclerosis Coronary Artery Disease Myocardial Ischemia Coronary Disease Arteriosclerosis |
Arterial Occlusive Diseases Vascular Diseases Cardiovascular Diseases Heart Diseases |
ClinicalTrials.gov processed this record on October 17, 2012