STEMI Clinical Trial
Official title:
Assessing Microvascular Resistance Via IMR To Predict Cumulative Outcome in STEMI Patients Undergoing Primary PCI (AMICRO)
The purpose of this study is to assess whether the Index of Microcirculatory Resistance (IMR)
can be considered a prognostic predictor for the occurrence of events at one year of follow
up after primary Percutaneous Coronary Intervention (PCI) in ST-Elevation Myocardial
Infarction (STEMI) patients.
Any correlation between IMR and the short and medium term outcomes, defined as cardiovascular
death, re-Myocardial Infarct (MI), re-hospitalization for Heart Failure (HF), resuscitation
or Implantable Cardioverter Defibrillator (ICD) appropriate shock, will be assessed in the
study.
Prospective, multicentre study designed to evaluate IMR ability to predict events occurrence,
defined as Cardiovascular death, re-MI, re-hospitalization for HF, resuscitation or ICD
appropriate shock, during a 1 year follow-up period.
All participants will have the culprit lesion treated following clinical practice and
guidelines; Fractional Flow Reserve (FFR) and IMR will be measured after the primary PCI
procedure to evaluate treatment success and myocardial viability. Non-culprit lesions will be
functionally evaluated through FFR index and will be treated if FFR will show functional
stenosis. FFR and IMR will be measured to evaluate treatment success and myocardial
viability. Patients will be followed-up at 1m, 6m and 1y periods.
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