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COMPARING THE CLINICAL FEATURES AND OUTCOME IN PATIENTS WITH HEART ATTACK AND LOW BP, WHO COME TO THE HOSPITAL EARLY VERSUS THOSE WHO COME LATE.

EARLY VERSUS LATE PRESENTATION OF PATIENTS WITH CARDIOGENIC SHOCK IN ST-ELEVATION MYOCARDIAL INFARCTION â?? COMPARISON OF CLINICAL FEATURES AND OUTCOMES

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
CTRI
Registry ID
CTRI/2020/10/028222
Enrollment
300
Registered
2020-10-05
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: I210- ST elevation (STEMI) myocardial infarction of anterior wall Health Condition 2: I211- ST elevation (STEMI) myocardial infarction of inferior wall Health Condition 3: I212- ST elevation (STEMI) myocardial infarction of other sites Health Condition 4: I213- ST elevation (STEMI) myocardial infarction of unspecified site

Interventions

Intervention1: NIL: NIL Control Intervention1: NIL: NIL

Sponsors

KASTURBA MEDICAL COLLEGE MANIPAL MANIPAL ACADEMY OF HIGHER EDUCATION MANIPAL
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: All Patients aged more than 18 years presenting to ER with chest pain and ECG diagnosis of STEMI and Cardiogenic shock 1. Patients with ECG diagnosis of STEMI defined as new ST segment elevation at J point in at least 2 contiguous leads of more than or equal to 2mm in men more than 40 years and more than or equal to 1.5mm in women more than 40 years in leads V2-V3, and or more than 1mm in other contiguous chest /limb leads and 2. CS as defined by SCAI - SBP less than 90mmHg or MAP less than 60 mmHg or more than 30mmHg drop from the baseline and drugs/device to maintain the BP - Evidence of cardiac dysfunction â?? based on Echocardiographic findings - Evidence of end organ hypoperfusion 3. Time to Hospitalisation since the onset of symptoms less than 24 hours for early presenters of cardiogenic shock and more than 24 hours for late presenters of cardiogenic shock.

Exclusion criteria

Exclusion criteria: 1. Patients not giving informed written consent 2. Patients who are unable to document the symptom onset time 3. Shock due to causes other than STEMI 4. Patients with cardiac arrest before hospitalisation 5. Pregnant women, terminal illness and advanced malignancy.

Design outcomes

Primary

MeasureTime frame
Major adverse cardiovascular events (MACE) defined as a composite of all cause death, resuscitated cardiac arrest, nonfatal MI, strokeTimepoint: 1. End of hospital stay 2. 1 month—

Secondary

MeasureTime frame
1. All cause death 2. Resuscitated cardiac arrest 3. Nonfatal MI 4. Stroke 5. Renal failureTimepoint: 1. End of hospital stay 2. 1 month—

Countries

India

Contacts

Public ContactDr Ganesh P

Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal

ganeshbmc@gmail.com

Outcome results

None listed

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