Health Condition 1: null- ST Elevation Myocardial Infarction (STEMI) patients with multivessel disease who have undergone Primary PCI to culprit vessel only.
Conditions
Interventions
Intervention1: Gated SPECT MPI test: Gated SPECT MPI test for detection of ischemia to guide for staged post-primary PCI in non-culprit vessel.
Control Intervention1: Coronary Angiogram: Coronary Ang
Sponsors
International Atomic Energy Agency IAEA
Eligibility
Inclusion criteria
Inclusion criteria: STEMI patients with a multivessel CAD over 18 years old, stable hemodynamically, who received a primary PCI (target vessel revascularization only) during the first 12 hours after the initial pain episode Non-culprit coronary stenosis >=70% (as determined by the interventional cardiologist performing the index primary PCI), in vessels with >= 2.5 mm diameter Written informed consent
Exclusion criteria
Exclusion criteria: Patients with atrial fibrillation or flutter, or any other condition (such as LV thrombus), which may mandate the use of oral anticoagulation Patients in cardiogenic shock Patient with a major coexisting illness affecting survival less than one year Pregnancy or breast-feeding Previous STEMI, CABG or PCI Severe asthma or CPOD Inability to understand and sign an informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Comparison of Ischemia severity between the two arms at one year of follow-up, as defined by the difference in percent ischemic myocardiumTimepoint: One year follow-up | — |
Secondary
| Measure | Time frame |
|---|---|
| MACE (death, MI, urgent revascularization) Hospitalization for ischemia or heart failure Symptomatic ischemia Timepoint: During the period of one year follow-up | — |
Countries
India
Contacts
Public ContactDr G Karthikeyan
All India Institute of Medical Sciences, New Delhi
Outcome results
None listed