Myocardial Infarction Clinical Trial
Official title:
Randomized, Controlled Multicenter Trial of Prehospital Initiated Facilitated PCI Versus Primary PCI in Patients With STEMI LIPSIA-STEMI Trial
Prehospital initiated facilitation of primary percutaneous coronary intervention by
fibrinolysis might be helpful in re-opening the infarct related artery prior to percutaneous
coronary intervention.
This studies tests the hypothesis that prehospital initiated facilitated PCI is superior to
primary percutaneous coronary intervention with respect to infarct size.
Patients with STEMI with symptoms < 3 hours are randomized in the region of Leipzig to either
prehospital full-dose fibrinolysis (+ASA, Clopidogrel and heparin) with subsequent
facilitated percutaneous coronary intervention or to primary percutaneous coronary
intervention (after ASA + heparin + clopidogrel).
Patients undergo cardiac magnetic resonance for assessment of infarct size early at day 1-4
after randomization.
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