Acute Coronary Syndrome Clinical Trial
Official title:
Short and Long Term Outcomes of Acute Coronary Syndrome in Patients With Non Obstructive Coronary Atherosclerosis
The purpose of the study is to assess short and long term outcomes of acute coronary syndrome in patients with non obstructive coronary atherosclerosis, to optimize the algorithm for diagnosis and to evaluate its effectiveness
The study non randomized, opened, controlled. Cardiovascular Magnetic - resonance imaging
reveals both ischemic and non-ischemic causes of acute coronary syndrome. Currently, it is
the best method for Imaging and damage assessment of myocardial viability in coronary
atherosclerosis and noncoronary injuries (V.Yu.Usov 2012).
Taking into account the results of previous (D. Kawecki, B. Morawiec, P. Monney, 2015)
research, it can be concluded that the introduction of cardiovascular magnetic resonance
imaging into routine practice will change the structure of morbidity among patients with
acute coronary syndrome and non obstructive coronary atherosclerosis . The research was
conducted on small groups of patients, and therefore further data acquisition is required.
It is planned to study 200 patients with acute coronary syndrome. On admission, they will
receive the standard treatment of ACS with and without ST elevation. Within 72 hours they
will performed diagnostic coronary angiography. If in case of non stenotic atherosclerosis
of coronary artery (normal / stenosis < 50%) patients are planned for cardiac contrast MRI,
which will identify both ischemic and non-ischemic causes of acute coronary syndrome. At 30
days, 6 months, 12 months the researchers will assess the clinical condition of the
patients, perform cardiac ultrasound for the evaluation of myocardial contractile function,
evaluate the incidence rate of secondary endpoints
;
Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Diagnostic
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