Myocardial Infarction Clinical Trial
Official title:
Cardiovascular, Renal and Metabolic Profile in Patients With Acute Myocardial Infarction (AMI) Included in the Romanian National Programme of Primary Percutaneous Revascularisation - a Single Center Observational Study
Aims
- assessment of renal artery stenosis incidence in consecutive AMI patients included in
the Romanian National Programme of Primary Percutaneous Revascularisation;
- generating a cardio-renal-metabolic profile in patients with renal atherosclerotic
disease;
- creating a local registry (based on European CARDS percutaneous interventional
registries) which also includes renal, metabolic and vascular data;
- reporting long-term follow-up data on major cardiac adverse events (MACE) in the study
group.
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 and specific non-genetic biomarkers;
- 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);
- metabolic data (obtained from body composition monitoring) - body water, body fat
tissue;
- renal arteries angiographic details (two independent operators evaluate stenosis based
on a predefined scale);
- renal dimensions;
- measurement of arterial stiffness through Sphigmocore pulsed-wave-velocity (24 hrs
post-procedural, 2 velocities: carotid - femoral and carotid - radial);
- heart rate variability;
- in-hospital and one month follow-up MACE;
;
Observational Model: Cohort, Time Perspective: Prospective
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