Objective Confirmation of thе Anti-ischemic Effectiveness of Trimetazidine 80mg Once Daily in Patients With Stable Angina Who Had a History of Myocardial Infarction (METHOD)

Study Overview
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Brief Summary
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METHOD is a prospective observational program that will be conducted in 1centre of the Russian Federation. Prospective follow-up will be for about 6 months. The METHOD study is a 2 visit study with first visit of inclusion and second visit of completion of the study. Patients with stable angina pectoris eligible to the study inclusion criteria will be invited to participate in this observational program. The parameters for analysis will be collected by doctors and entered into CRF. The final analysis will include data from patients who were taking TMZ 80 mg OD during the observational period. The decision to stop the study will be made once 36 patients receiving treatment with trimetazidine 80 mg OD will have been evaluated at V1. It is expected that 5 cardiologists will participate in the program. The planned number of patients is 36.

Detailed Description
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To describe antiischemic and antianginal effectiveness of trimetazidine OD 80 mg as well as adherence to the treatment with TMZ 80 mg OD in patients with stable angina pectoris and prior MI in real clinical practice in Russia

Official Title
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Objective Confirmation of thе Anti-ischemic Effectiveness of Trimetazidine 80mg Once Daily in Patients With Stable Angina Who Had a History of Myocardial Infarction (METHOD)

Conditions
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Coronary Artery Disease

Intervention / Treatment
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* Other: speckle tracking mode of the stress ECHO test with dobutamine


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age older than 18 yearsAge older than 18 years Signed informed consent form Stable angina pectoris (CCS I-III FC) with signs of myocardial ischemia despite treatment with antianginal drug(s) present either clinically and/ or at stress ECHO test with dobutamine History of myocardial infraction occurred 6 months and more from the inclusion date Trimetazidine (TMZ) is recommended as add on to the current antianginal treatment and this recommendation precedes inclusion of a patient in the study Intention to perform a stress echo with spackle tracking precedes the start of TMZ Physician's intention to perform a stress ECHO test within a 6-month period after the date of inclusion in the study Exclusion Criteria: Age over 75 years or under 18 years old Hypersensitivity to the active substance or any excipient specified in SmPc of TMZ 80 mg OD Parkinson's disease, parkinsonism symptoms, tremors, restless legs syndrome and other accompanying movement disorders Known severe or moderate renal impairment (creatinine clearance <60 ml / min). Angina pectoris of IV functional CCS class Heart failure IV functional class by NYHA Cardiac valves insufficiency with regurgitation of stage III and higher Myocardial infarction less than 6 months from the inclusion date Acute cerebrovascular event (stroke of various origins, transient ischemic attack) within 6 months before screening date Uncontrolled arterial hypertension of stage 3 (blood pressure above 180/100 mm Hg) despite ongoing antihypertensive therapy Fructose / sucrose intolerance, presence of glucose-galactose malabsorption syndrome, sucrose-somaltase deficiency and other enzymopathies associated with intolerance to sucrose, which is part of the drug Pregnancy, breastfeeding Any contraindications to stress echocardiography with dobutamine

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 75 Years

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| patients with stable angina pectoris and prior MI<br> | Other: speckle tracking mode of the stress ECHO test with dobutamine<br>* speckle tracking mode of the stress ECHO test with dobutamine<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| To describe antiischemic effectiveness of TMZ 80 mg OD assessed by the speckle tracking mode of the stress ECHO test with dobutamine in patients included in the study. |  | 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| To describe antianginal effectiveness of TMZ 80 mg OD in patients included in the study |  | 6 months | 
| To describe adherence to TMZ 80 mg OD in patients included in the study; |  | 6 months | 
| To describe correlations between adherence (low, medium or high) to the treatment with TMZ 80 mg OD and antiischemic and antianginal effectiveness of TMZ 80 mg OD in patients included in the study; |  | 6 months | 
| To describe impact on quality of life (QoL) to the treatment with TMZ 80 mg OD |  | 6 months |