ST Elevation Myocardial Infarction Clinical Trial
Official title:
A Prospective Multicentre Cohort Study of Acute ST-segment Elevation Myocardial Infarction
ST-segment elevation myocardial infarction(STEMI) remains a major cause of morbidity and mortality worldwide, despite of the early reperfusion therapy, including fibrinolysis, primary percutaneous coronary intervention (PCI),and standardized medical treatment.To improve the prognosis of STEMI patients, the management in their hospitalization should be optimized, including improvements in risk stratification, more widespread use of an invasive strategy, implementation of care delivery systems prioritising immediate revascularisation through PCI (or fibrinolysis), advances in antiplatelet agents and anticoagulants, and greater use of secondary prevention strategies such as lipid-lowering therapy. This study aims to standardized the management of STEMI patients and improve the prognosis of the STEMI patients.
Status | Recruiting |
Enrollment | 2000 |
Est. completion date | September 17, 2024 |
Est. primary completion date | September 17, 2023 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 80 Years |
Eligibility | Inclusion Criteria: - ST elevation myocardial infarction - Coronary angiography and percutaneous coronary intervention within 12 hours of symptom onset - Capable and willing to provide informed conset and capable of completing study visits Exclusion Criteria: - Cardiovascular shock at admission - Severe physical disability - Active malignant tumors - Active autoimmune diseases |
Country | Name | City | State |
---|---|---|---|
China | Ruijin hospital, Shanghai Jiaotong University School of Medicine | Shanghai | Shanghai |
China | Shanghai Fengxian District Central Hospital | Shanghai | Shanghai |
China | Shanghai Fifth People's Hospital, Fudan University | Shanghai | Shanghai |
China | Shanghai Jiading District Central Hospital | Shanghai | Shanghai |
China | Shanghai Minhang District Central Hospital | Shanghai | Shanghai |
China | Shanghai Putuo District Central Hospital | Shanghai | Shanghai |
China | Shanghai Yangpu District Central Hospital | Shanghai | Shanghai |
Lead Sponsor | Collaborator |
---|---|
Ruijin Hospital |
China,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Synchronized analysis of phonocardiogram and electrocardiogram | Synchronized PCG and ECG data using a wearable cardiac monitoring patch | 1 day, 1 month, 6 months, 1 year | |
Primary | MACE | Major adverse cardiovascular events(MACE) in one year follow-up | 0-1 year | |
Primary | Left Ventricular Function | Left ventricular end diastolic volume(LVEDV),Left ventricular end systolic volume(LVESE),Left ventricular ejection fraction(LVEF) changes within one year follow-up | 1 month, 6month and 1 year | |
Primary | Coronary angiography | The pathological changes in culprit vessels in 1 year | 1 year |
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