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Use of ECG for diagnosis of Myocardial Infarction

Role of ECG in localizing the culprit vessel occlusion in STEMI with Angiographic correlation - ECG

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
CTRI
Registry ID
CTRI/2021/01/030287
Enrollment
250
Registered
2021-01-06
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: I219- Acute myocardial infarction, unspecified Health Condition 2: I210- ST elevation (STEMI) myocardial infarction of anterior wall

Interventions

Control Intervention1: NIL: NIL

Sponsors

KMC MANIPAL
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: 1) Newly diagnosed patients 2) Chest pain lasting more than 30 min or patients having symptoms of angina equivalents 3) ECG showing ST elevation >1 mm in at least two contiguous leads in limb leads and >2 mm in chest leads i.e STEMI 4) Patients with confirmed enzymatic changes 5) Patients suitable for angiography having no contraindications to the administration of iodinated contrast.

Exclusion criteria

Exclusion criteria: 1) Those with history of MI defined by established pathological Qwaves 2) Patients with signs of reperfusion by negative or biphasic Twaves will be excluded 3) Previous angioplasty of coronary vessels 4) Prior coronary artery bypass graft surgery 5) Presence of right or left bundle branch block 6) Left ventricular hypertrophy, Cardiomyopathy. 7) Patients with severe valvular heart disease other than ischemic mitral regurgitation and congenital cardiac anomaly 8) Patients with implanted pacemakers or valve prostheses 9) Patients with history of intake of drugs causing CB such as clonidine, methyldopa, verapamil, and digoxin.

Design outcomes

Primary

MeasureTime frame
1) Localization of culprit coronary vessels and occlusion site involved in acute coronary syndrome STelevation myocardial infarction (STEMI) by combining various ECG criteria. 2) To assess the diagnostic accuracy of ECGs as compared to coronary angiographic findings in localizing culprit vessel Timepoint: Within 6 hours of arrival of patient and within 6 hours of angiography—

Secondary

MeasureTime frame
Ease in diagnosis of MI by usage of single cost-effective tool.Timepoint: within 24 hours of receiving the patient—

Countries

India

Contacts

Public ContactDR SAVIO DSOUZA

KASTURBA MEDICAL COLLEGE MANIPAL

rmoorthi414@gmail.com9449615194

Outcome results

None listed

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