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Infarction clinical trials

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NCT ID: NCT04420624 Terminated - Clinical trials for Myocardial Infarction, Acute

COLchicine to Prevent Sympathetic Denervation After an Acute Myocardial Infarction

COLD-MI
Start date: December 4, 2020
Phase: Phase 2/Phase 3
Study type: Interventional

This study evaluates the benefit of colchicine on induced denervation after myocardial infarction. Patients who have suffered a documented De Novo myocardial infarction and completed a revascularization procedure will receive either colchicine on top of standard therapy, compared to standard therapy alone (1:1 allocation ratio). Colchicine 1mg (or 0.5mg) will be initiated within 48h after percutaneous revascularization and prescribed for one month.

NCT ID: NCT04032925 Terminated - Clinical trials for Myocardial Infarction

The Pressure-controlled Intermittent Coronary Sinus Occlusion on VentrIcular PERformance Study

PICSO-ViPER
Start date: August 3, 2021
Phase: Phase 2
Study type: Interventional

The PICSO ViPER study is a prospective single centre cohort study of the use of PICSO in patients presenting acute myocardial infarction and impaired function of the left ventricle and candidate to angioplasty the left anterior descending (LAD) coronary artery. The percutaneous coronary intervention (PCI) procedure will be undertaken in a standard fashion, in accordance with the Oxford University Hospitals NHS Trust (OUHT) departmental guidelines for PCI, and includes the use of pressure wire measurements before and after stent deployment. PICSO treatment will be added on top of the conventional treatment. The protocol will constitute of 5 main stages (that will all be performed during index angioplasty procedure). The protocol is complete at the end of the angioplasty procedure, and the patient will exit the study at this point. The five stages of the protocol are described below (for details see "Detailed Description"): - Baseline - PICSO treatment during pre-dilation - Stenting with PICSO support - Post-stent Physiology - PICSO treatment during post-dilation

NCT ID: NCT03992157 Terminated - Cerebral Infarction Clinical Trials

Evaluation of Ambulatory ECG Telemetry for the Early Detection of Atrial Fibrillation During Hospital Assessment of Cerebral Infarction

TELEMETRIE
Start date: December 27, 2018
Phase: N/A
Study type: Interventional

The aim of the study is to show that an ambulatory ECG telemetry monitoring of some patients hospitalized for cerebral infarction increases the frequency of the diagnosis of atrial fibrillation, cause of their stroke, and reinforces the protection against recurrences.

NCT ID: NCT03991000 Terminated - Clinical trials for Cardiovascular Diseases

Iron in Patients With Cardiovascular Disease

iCHF-2
Start date: February 28, 2019
Phase: Phase 3
Study type: Interventional

It is now recognized that iron deficiency in cardiovascular disease contributes to impaired clinical outcome.

NCT ID: NCT03988842 Terminated - Pulmonary Embolism Clinical Trials

Standard-dose Apixaban AFtEr Very Low-dose ThromboLYSis for Acute Intermediate-high Risk Acute Pulmonary Embolism

SAFE-LYSE
Start date: July 25, 2019
Phase: Phase 4
Study type: Interventional

The purpose of this study is to examine the degree to which pulmonary embolism (clot) can be dissolved when treated with a very low dose of a systemic thrombolytic drug (clot buster) along with standard anticoagulant therapy as compared to the standard of care anticoagulant therapy alone.

NCT ID: NCT03985059 Terminated - Stroke Clinical Trials

Impact of Verticalization on Intracranial Hemodynamics Assessed in Transcranial Doppler at the Acute Phase of Cerebral Infarction

STAND
Start date: November 15, 2019
Phase:
Study type: Observational

The management of patients with ischemic stroke or transient ischemic attack is based on the preservation of a brain area by maintaining sufficient intracranial hemodynamics (IH) and with rapid recanalization. The impact of the patient's position (supine or seated position) on the IH in the event of narrowing or occlusion of an artery is poorly assessed but may be of particular importance. Variations in blood flow according to the positioning of the patient's body are measurable using a transcranial Doppler. The main objective is to verify whether intracerebral hemodynamic changes during early verticalization after ischemic stroke or transient ischemic attack are more frequent in patients with carotid stenosis or occlusion compared to those without stenosis or occlusion.

NCT ID: NCT03950310 Terminated - Clinical trials for STEMI - ST Elevation Myocardial Infarction

Laser Atherectomy for ST Elevation Myocardial Infarction

Start date: July 26, 2018
Phase: N/A
Study type: Interventional

The objectives of this study are to observe and examine prospectively whether excimer laser coronary angioplasty (ELCA) and percutaneous coronary intervention with biodegradable-polymer platinum chromium everolimus-eluting stent may improve the myocardial salvage in the patients with anterior ST elevation myocardial infarction (STEMI) using the myocardial scintigram (acute-phase I123-BMIPP and chronic-phase 99mTc-tetrofosmin), and to clarify the myocardial protective effect of excimer laser in the patients with anterior STEMI.

NCT ID: NCT03773081 Terminated - Clinical trials for Acute Coronary Syndrome

SOLVE-ACS: Bioresorbable Magnesium-Stents Magmaris in ACS Lesions

SOLVE-ACS
Start date: August 21, 2018
Phase: N/A
Study type: Interventional

The aim of the registry is to investigate the clinical performance of the Magmaris Magnesium Stent in STE-ACS and NSTE-ACS patients.

NCT ID: NCT03686696 Terminated - Clinical trials for Myocardial Infarction With Non-obstructive Coronary Arteries

Randomized Evaluation of Beta Blocker and ACEI/ARB Treatment in MINOCA Patients - MINOCA-BAT

MINOCA-BAT
Start date: December 16, 2018
Phase: Phase 4
Study type: Interventional

Myocardial infarction with non-obstructive coronary arteries" (MINOCA) occurs in 5-10% of all patients with AMI. There are neither any randomized clinical trials in MINOCA patients evaluating effects of secondary preventive treatments proven beneficial in patients with classic AMI, nor any treatment guidelines. The primary objective of this multi-national, multi-center pragmatic randomized clinical trial is to determine whether oral beta-blockade compared to no oral beta-blockade, and whether Angiotensin Converting Enzyme Inhibitors (ACEI/ Angiotensin Receptor Blockers (ARB) compared to no ACEI/ARB, reduce the composite endpoint of death of any cause and readmission because of AMI, ischemic stroke or heart failure in patients discharged with myocardial infarction with non-obstructive coronary artery disease (MINOCA) and with no clinical signs of heart failure and with left ventricular (LV) systolic ejection fraction ≥40%.

NCT ID: NCT03674021 Terminated - Clinical trials for Myocardial Infarction

Use of Visual Decision Aid for Shared Decision Making in Chest Pain

Start date: March 1, 2019
Phase: N/A
Study type: Interventional

This study aims to evaluate the use of the chest pain choice (CPC) decision aid as a tool to facilitate discussion between the patient and his/her attending physician with regard to subsequent management plans. Patients aged 21 years and above with low-risk chest pain, as determined by the HEART score (HEART score 0-3), will be included. The investigator's hypothesis is that incorporating the Chest Pain Choice visual aid in shared decision making can help to reduce unnecessary admissions for low risk chest pain to the observation ward, as well as increase patient knowledge with regards to their own condition.