Coronary Care Caffeine: Influence of Coffee on Heart Rate Post Myocardial Infarction
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Purpose
Sudden cardiac death due to a heart rhythm disturbance after a heart attack (myocardial infarction) is a common cause of death. It is well documented that sudden cardiac death after a myocardial infarct (MI) is associated with low or poor heart rate variability (HRV). HRV is a measure of beat-to-beat changes in heart rate, with a greater variation associated with a "healthier" heart. The effect of caffeine on HRV in patients at high risk for sudden cardiac death is unknown. We, the investigators at the Royal Bournemouth Hospital, aim to study the effect of coffee or tea on HRV after MI.
| Condition | Intervention | Phase |
|---|---|---|
|
Myocardial Infarction |
Drug: Caffeine |
Phase 3 |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Official Title: | Influence of Coffee on Heart Rate Variability Post Myocardial Infarction |
| Enrollment: | 100 |
| Study Start Date: | September 2003 |
| Study Completion Date: | January 2006 |
120 post MI patients on CCU will be studied during the first week of admission. Patients will be categorised using the following criteria: Infarct size and site; PMH; Co-morbidities; Drugs; Regular caffeine ingestion.
Patients will be randomised to receive either caffeinated or de-caffeinated coffee or tea during admission. HRV will be assessed by non-invasive Holter-monitoring on the fifth day. Salivary caffeine concentration will be assessed concurrently to assess compliance.
Eligibility| Ages Eligible for Study: | 18 Years to 80 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Probability Sample |
Patients of either gender, over 18 and under 80 years of age, admitted to the Coronary Care Unit following myocardial infarction.
Inclusion Criteria:
- ST-segment elevation (trans-mural) MI; sinus rhythm.
- Age < 80 years.
Exclusion Criteria:
- Cardiogenic shock
- Nothing by Mouth (NBM)
- Caffeine intolerance
- Atrial fibrillation, temporary or permanent pacing
- Complete heart block, bundle branch block, severe left ventricular impairment, non-ST segment MI/acute coronary syndrome
Contacts and Locations| United Kingdom | |
| Royal Bournemouth Hospital | |
| Bournemouth, Dorset, United Kingdom, BH7 7DW | |
| Principal Investigator: | Tristan Richardson, Dr | Royal Bournemouth Hospital |
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00137098 History of Changes |
| Other Study ID Numbers: | BDEC Caffeine |
| Study First Received: | August 26, 2005 |
| Last Updated: | October 2, 2009 |
| Health Authority: | United Kingdom: Research Ethics Committee |
Additional relevant MeSH terms:
|
Infarction Myocardial Infarction Ischemia Pathologic Processes Necrosis Myocardial Ischemia Heart Diseases Cardiovascular Diseases Vascular Diseases Caffeine Central Nervous System Stimulants |
Physiological Effects of Drugs Pharmacologic Actions Central Nervous System Agents Therapeutic Uses Phosphodiesterase Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action Purinergic P1 Receptor Antagonists Purinergic Antagonists Purinergic Agents Neurotransmitter Agents |
ClinicalTrials.gov processed this record on May 23, 2013