Health Condition 1: I219- Acute myocardial infarction, unspecified
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (a) Men aged 40 years old or younger (b) Women aged 40 years old or younger (c) Presentation to hospital (d) All patients with diagnosis of STEMI, as evidenced by: • Detection of a rise and/or fall in cardiac biomarker value (Trop-T), with at least one value above the 99th percentile of the upper reference range and with at least one of the following: - Symptoms of ischemia - New or presumed new significant ST-segment T wave (ST-T) changes or new LBBB - Development of pathologic Q waves on the ECG - Imaging evidence of new loss of viable myocardium or new regional wall motion abnormality - Identification of an intracoronary thrombus by angiography
Exclusion criteria
Exclusion criteria: (a) Patients with previous history of ischemic heart disease/ PTCA / CABG. (b) Patients with history of cardiomyopathy (c) Patients with mechanical complications of STEMI (d) Resuscitated Cardiac Arrest, severe LV dysfunction, Kilip-III and IV on presentation to hospital. (e) Patients with unstable haemodynamics (f) Patients with absolute contraindications for the use of fibrinolytic agents: -Any previous intracranial haemorrhage -Known structural cerebral vascular lesion (e.g., arteriovenous malformation) -Known malignant intracranial neoplasm (primary or metastatic) -Ischemic stroke within 3 months except acute ischemic stroke within 4.5 hours -Suspected aortic dissection -Active bleeding or bleeding diathesis (excluding menses) -Significant closed-head or facial trauma within 3 months -Intracranial or intraspinal surgery within 2 months -Severe uncontrolled hypertension (unresponsive to emergency therapy) (g) Patients having a history of diabetes mellitus, chronic alcoholism, concomitant liver, kidney disease, cerebrovascular disease and acute / chronic infection (e) Patients unwilling to give informed consent
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| (1) Functional class (NYHA class) (2) Assessment of left ventricular (LV) function - Ejection fraction (EF) - Global longitudinal strain of LV (3) Non-invasive assessment by TMT. Timepoint: 1 year | — |
Primary
| Measure | Time frame |
|---|---|
| (1) Assessment of Reperfusion - TIMI Flow Grade - ST Segment resolution on ECG - Angina relief as per the chest pain scale (2) In hospital mortality (3) Stroke / major bleeding (4) MACEs (Any death, repeat nonfatal myocardial infarction (MI) and infarct related artery (IRA) revascularization).. Timepoint: 1 year | — |
Countries
India
Contacts
SRI. JAYADEVA INSTITUTE OF CARDIOVASCULAR SCIENCES AND RESEARCH