Acute Myocardial Infarction Clinical Trial
Official title:
Hydration Status Assessment Through Body Composition Monitoring And Renal Artery Stenosis Evaluation in Patients With Acute Myocardial Infarction Referred For Primary PCI
Aims:
- evaluate the hydric status through bioimpedance spectroscopy in consecutive acute
myocardial infarction patients referred for primary PCI;
- assessment of renal artery stenosis incidence through renal angiography in consecutive
STEMI patients;
- fully characterize the complex hydration, metabolic and endothelial profile of these
patients in the attempt to define the role played by dehydration in the complex
dynamics of acute myocardial infarction.
Gathered data:
- descriptive general demographic data;
- previous pathologies (ischemic heart disease, peripheral arterial disease, stroke,
heart failure, previous percutaneous coronary interventions, coronary artery bypass
grafting - CABG, known renal disease);
- cardiovascular risk factors (age, weight, height, abdominal perimeter, body mass index,
smoking, sedentariness, diabetes, hypertension, dyslipidaemia);
- routine biological data;
- metabolic data (obtained from two body composition monitoring evaluations - before and
12 hours after coronary intervention) - body water, body fat tissue;
- information regarding primary PCI (less than 12 hours of ischemic symptoms);
- coronarographic details, type of used stent, periprocedural specific complications,
final TIMI - thrombolysis in myocardial infarction - flow);
- echocardiography at admission (LVEF);
- renal arteries angiographic details performed in the same time with PCI (two
independent operators evaluate stenosis based on a predefined scale);
- renal diameters;
- measurement of arterial stiffness through Sphigmocore pulsed-wave-velocity (24 hrs
post-procedural, 2 velocities: carotid - femoral and carotid - radial);
- in-hospital and one month follow-up MACE.
;
Observational Model: Cohort, Time Perspective: Prospective
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