Health Condition 1: null- Patients undergoing primary angioplasty for acute coronary syndrome.
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. All patients more than 18 years presenting with acute ST elevation Myocardial Infarction with symptom duration less than 24 hours, undergoing primary percutaneous coronary interventions (PCI). Diagnostic ST elevation in the absence of LVH or LBBB as defined by ESC/ACC/AHA/World Heart federation task force for the universal definition of Myocardial infarction as new ST elevation at the J point in at least two contiguous leads of more than 2mm in men or > 1.5 mm in women in leads V2-V3 and /or more than or equal to 1 mm in other contiguous chest leads or limb leads. At least one cardiac biomarker elevation above the 99th percentile upper reference limit required. 2. New onset or presumed new onset LBBB in the approprite context of ischemic chest pain will also be considered as STEMI equivalent.
Exclusion criteria
Exclusion criteria: 1. Presentation after 24 hours of onset of chest pain 2. Inability to provide informed consent 3. Patients with STEMI who were thrombolyzed at referring hospitals 4. Patients developing STEMI in-hospital following PCI
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| All-cause mortality (1 year) Composite of all-cause mortality/ non-fatal MI/ TVR/stroke at one year In-hospital Mortality Timepoint: 30/03/2018 | — |
Secondary
| Measure | Time frame |
|---|---|
| Cardio vascular Death/Nonfatal MI,/Stroke/Unplanned hopitalisation for ACS or HF at one month Non-fatal MI at one year Major Bleed at one year Stent thrombosis at one year Hospitalisation for Heart failure or ACS at one year Target vessel revascularization at one year Timepoint: 30/03/2018 | — |
Countries
India
Contacts
West Fort Hitech Hospital, Trissur