Myocardial Infarction Clinical Trial
Official title:
Intensive Longterm Prevention Program After Myocardial Infarction in Northwest Germany
It is unknown, if a modern prevention program, including intense nurse-coordinated education
sessions, regular telephone contacts and a telephone hotline for 12 months, significantly
reduces cardiovascular risk factors, clinical events and quality of life in myocardial
infarction patients compared to usual care. Furthermore, actually no data on the additional
effects and the feasibility of longterm telemetric care of cardiovascular risk factors exist.
The primary hypothesis to be tested is that an intensive longterm prevention program compared
to the standard of medical care, will achieve better risk factor control and consecutively
less clinical adverse events in patients after myocardial infarctions. The study endpoints
will be evaluated after 12 months and during long-term course (after 24 months = one year
after termination of the prevention program).
In a substudy the effects of short reinterventions ("Prevention Boosts") during long-term
course are tested (IPP Prevention Boost Study). Patients with at least one insufficiently
controlled risk factor at 24-months visit are randomly assigned to a short (2-month)
reintervention vs. no reintervention. The effects of the reinterventions on risk factor
control are evaluated after 36 months.
A further substudy focusing on young patients <= 45 years of age at time of MI (IPP-Y = IPP
in the Young) was added after completion of the pilot IPP study. In this study we focus on
the prevention program in young MI-patients. A retrospective analysis of individual genetic
risk (assessed by genetic risk scores) in the young patients is included in this substudy.
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