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Study to identify patients with High risk after acute MI using a wearable detection system. (External Loop Recorder)

IdeNtifying High riSk Patients Post Myocardial Infarction with REduced Left Ventricular Function using External Loop Recorders - INSPIRE-ELR

Status
Active, not recruiting
Phases
Phase 4
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2013/12/004216
Enrollment
300
Registered
2013-12-16
Start date
Unknown
Completion date
Unknown
Last updated
2021-11-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: null- The study will enroll acute post MI patients with a reduced LVEF (â?¤35%) one day before or on the day of discharge from hospital after index MI. There is no control group in this study

Interventions

Intervention1: NUVANT MCT system External Loop Recorder: The NUVANT MCT System consists primarily of the PiiX external monitoring patch, the zLink data transmission device and a Patient Trigger Magnet

Sponsors

India Medtronic Pvt Ltd
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: 1. Patients must provide written informed consent/data release consent to participate in the study. 2. Acute Myocardial Infarction (STEMI or non-STEMI) within the last 10 days based on ESC/ACC/AHA/WHF criteria (Thygesen, 2012) matching the following criteria: Rise and/or fall of cardiac biomarker values [preferably cardiac troponin (cTn)] with at least one value above the 99th percentile upper reference limit (URL) and with at least one of the following: a. Symptoms of ischaemia. b. New or presumed new significant ST-segmentâ??T wave (STâ??T) changes or new left bundle branch block (LBBB). c. Development of pathological Q waves in the ECG. d. Imaging evidence of new loss of viable myocardium or new regional wall motion abnormality. e. Identification of an intracoronary thrombus by angiography. 3. LVEF <=35% as measured by echocardiography (Simpsonâ??s method, biplane) one day before or on the day of hospital discharge

Exclusion criteria

Exclusion criteria: • Patients who cannot be discharged from the hospital within14 days after index Myocardial Infarction event • Age 18 years • Psychologically incapacitated • Patient is pregnant, or is expecting to become pregnant during the course of the trial per Investigator discretion. • Patients contraindicated for NUVANT system • Comorbidities likely to limit survival to less than the minimal study duration (12 months) • Participation in an investigational study with known or suspected cardiac effect expected to confound the results of this study (e.g. stem cell trials, stent trials, cardiac intervention trials, drug trials) • Patients with an existing pacemaker or ICD implanted. • Patients that are dialysis dependent at discharge

Design outcomes

Primary

MeasureTime frame
â?? Clinically significant arrhythmias reported by ELR at acute monitoring periodTimepoint: No specific Time point

Secondary

MeasureTime frame
â?? Clinically significant arrhythmias reported by ELR at chronic (8-10 weeks post MI) monitoring period â?? ELR reported arrhythmia driven medical interventions or needs for medical interventions â?? All-cause mortality â?? Sudden cardiac death or resuscitated Ventricular Fibrillation or appropriate shockTimepoint: No specific Timepoint

Countries

India

Contacts

Public ContactHaresh Sachanandani

India Medtronic Pvt. Ltd.

haresh.g.sachanandani@medtronic.com

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026