Outcome
Type |
Measure |
Description |
Time frame |
Safety issue |
Primary |
Major adverse cardiovascular events |
Incidence of the composite of all-cause mortality, new myocardial infarction and admission for heart failure within 12 months following randomisation |
12 months |
|
Secondary |
All-cause mortality |
Incidence of all-cause mortality |
12 months |
|
Secondary |
New myocardial infarction |
Incidence of new myocardial infarction |
12 months |
|
Secondary |
Heart failure |
Incidence of admission for heart failure |
12 months |
|
Secondary |
Cardiovascular mortality |
Incidence of cardiovascular mortality |
12 months |
|
Secondary |
Length of in-patient stay |
Length of in-patient stay (defined as randomisation to first discharge) in days |
Through study completion, 3 years |
|
Secondary |
All-cause mortality prior to planned coronary angiography |
Incidence of all-cause mortality prior to planned coronary angiography following index admission with NSTEMI |
During index admission |
|
Secondary |
New myocardial infarction prior to planned coronary angiography |
Incidence of new myocardial infarction prior to planned coronary angiography following index admission with NSTEMI |
During index admission |
|
Secondary |
Major bleeding prior to planned coronary angiography |
Incidence of major bleeding (classified as BARC 3-5) prior to planned coronary angiography following index admission with NSTEMI |
During index admission |
|
Secondary |
Admission for ischaemia-driven revascularisation |
Incidence of admission for ischaemia-driven revascularisation |
12 months |
|
Secondary |
Admission for any cause |
Incidence of admission for any cause |
12 months |
|
Secondary |
Quality of life measured using Seattle Angina Questionnaire |
Quality of life measured using Seattle Angina Questionnaire at 24 hours post procedure, 1 month, 6 months and 12 months |
12 months |
|
Secondary |
Quality of life measured using EuroQoL-5D-5L questionnaire |
Quality of life measured using the EuroQoL-5D-5L questionnaire at 24 hours post procedure, 1 month, 6 months and 12 months |
12 months |
|
Secondary |
BARC 3-5 bleeding |
Incidence of Bleeding Academic Research Consortium (BARC) 3-5 classified bleeding as in-patient, and up to 12 months |
12 months |
|
Secondary |
Stroke |
Incidence of stroke |
12 months |
|
Secondary |
Cost effectiveness |
Cost effectiveness of immediate PCI versus standard care |
12 months |
|
Secondary |
Left ventricular ejection fraction on cardiac MRI |
Left ventricular ejection fraction on cardiac MRI |
7 days (+/-3 days) |
|
Secondary |
Infarct size on cardiac MRI |
Infarct size on cardiac MRI |
7 days (+/-3 days) |
|
Secondary |
Proportion of patients needing emergency/urgent revascularisation |
Proportion of patients needing emergency/urgent revascularisation (in group B) |
3-4 days (standard of care timing angiography will vary between recruiting centres) |
|
Secondary |
Total access site complications |
Incidence of total VARC-2 classified access site complications as in-patient, and up to 12 months |
12 months |
|
Secondary |
Major access site complications |
Incidence of major VARC-2 classified access site complications as in-patient, and up to 12 months |
12 months |
|
Secondary |
Sensitivity and specificity of novel biomarkers for predicting need for revascularisation |
Sensitivity and specificity of novel biomarkers in predicting which patients do or do not require PCI following diagnostic angiography |
3-4 days (standard of care timing angiography will vary between recruiting centres) |
|