Health Condition 1: I219- Acute myocardial infarction, unspecified
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Patients willing to give consent. 2.All patients of age 18 years or more of both genders will be recruited in the study. 3.Post-ACS patients who have LVEF 4.Patient must be treated with aspirin, clopidogrel, statins and beta blocker as per guidelines
Exclusion criteria
Exclusion criteria: 1.Patients refusing to give consent. 2.History of angioedema, 3.An eGFR 4.Serum potassium >5.2 mmol/L, 5.Symptomatic hypotension or a SBP 6.Were in the midst of a heart failure exacerbation. 7.Post MI patients with LVEF >40% 8.Pregnant females or lactating mothers 9.Known contraindications to study drugs 10.Peripartum Cardiomyopathy (PPCMP)/ Combination Chemotherapy (CCT) induced CMP 11.H/O severe pulmonary disease, TIA or Stroke 12.Acute decompensated heart failure 13.Presence of any disease with life expectancy less than 5 years 14.Presence of heart disease with aortic or mitral valve disease except mitral regurgitation 15.Symptomatic bradycardia without pacemaker
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary objective of the study is to test that sacubitril-valsartan is non-inferior to ramipril in composite end points i.e. Major Adverse Cardiovascular Events (MACE) in patients with ACS at short term (1 month) and intermediate term (6 month).Timepoint: 1st week 2nd week 4th-6th week 6th-8th week 4th month 6th month | — |
Secondary
| Measure | Time frame |
|---|---|
| Improvement in NYHA FC All cause mortality Change in biomarkers ( BNP, Trop T, CRP ) Timepoint: 1 month, 6 month | — |
Countries
India
Contacts
Dr Rajendra Prasad Government Medical College Kangra at Tanda