Health Condition 1: I219- Acute myocardial infarction, unspecified
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age > 18 years 2. Patients presenting with 1st or recurrent event of acute coronary syndrome ( ACS), unstable angina (USA), non â??ST elevation myocardial infarction ( NSTEMI ), ST elevation myocardial infarction (STEMI) 3. ACS as trigger event - (ESC guidelines) being: 1. Acute cardiac chest pain or angina equivalent consistent with moderate to high-risk unstable angina or myocardial infarction, lasting more than 10 minutes duration during 72 hours before invasive examination AND/OR 2. Evidence for ACS requiring catheterization documented by a) elevated enzymes (CK-MB or hs-Troponin I/T > 99th percentile or in-/decrease) AND/OR 3. ECG with ST-depression >1mm in 2 or more contiguous leads after the J-point AND/OR transient ST-elevation >1mm in 2 or more contiguous leads lasting 30 min ST-elevation >1mm in 2 or more contiguous leads or new left bundle block. 4. Written informed consent
Exclusion criteria
Exclusion criteria: EXCLUSION CRITERIA 1. Known systolic heart failure with left-ventricular ejection fraction (LV-EF 2. Cardiogenic shock or heart failure requiring intubation, inotropes; diuretics or mechanical circulation support. 3. Refractory ventricular arrhythmia requiring pharmacologic or defibrillator therapy. 4. Renal insufficiency with serum-creatinine >= 1.5 mg/dl. 5. ACS with culprit lesion in a bypass graft. 6. No suitable anatomy of "culprit lesion" for OCT: o severe calcification or extreme tortuosity of "culprit lesion". o culprit lesion with very distal location. o infarct vessels with an diameter > 4 mm or 7. TIMI flow
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To study the demographic and risk profile in patients presenting with Acute Coronary Syndrome.Timepoint: at the end of study | — |
Secondary
| Measure | Time frame |
|---|---|
| To asses in vivo culprit lesion characteristics in patients presenting with Acute Coronary Syndrome by using Optical Coherence Tomography.Timepoint: at the end of study | — |
Countries
India
Contacts
DEPT OF CARDIOLOGY KING GEORGE S MEDICAL UNIVERSITY