Myocardial Infarction Clinical Trial
Official title:
Protective Effect of Coronary Collaterals on Infarct Size in Patients With Acute Myocardial Infarction
The hypothesis of the current proposal is that collateral flow is an important determinant
of myocardial protection during an ischemic event. Increased collateral flow for any given
area at risk will decrease the myocardial damage caused by the occlusion of the infarct
related epicardial artery.
It is further hypothesized that myocardial salvage provided by collateral flow will decrease
infarct size and this in turn will decrease LV dilatation post-myocardial infarction.
The hypothesis of the current proposal is that collateral flow is an important determinant
of myocardial protection during an ischemic event. Increased collateral flow for any given
area at risk will decrease the myocardial damage caused by the occlusion of the infarct
related epicardial artery.
It is further hypothesized that myocardial salvage provided by collateral flow will decrease
infarct size and this in turn will decrease LV dilatation post-myocardial infarction.
The two primary endpoints are infarct size as assessed by increase of biochemical cardiac
markers and coronary collateral perfusion index (CPI) as obtained by transthoracic MCE.
Extent of LV remodelling, i.e., LV dilatation as assessed by serial assessment of LV
dimension by LV angiogram and/or echocardiography, respectively.
;
Observational Model: Cohort, Time Perspective: Prospective
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