acute myocardial infarction
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (1) Aged 30-75 years; (2) Patients with STEMI (cTnI peak > 99% URL) in emergency admission who meet the global definition of AMI (version 4) have a rise and fall curve, and have clinical evidence of myocardial ischemia. (see Annex 1 for detailed definition) (3) All patients had received emergency PCI, and TIMI blood flow classification of infarct related artery reached level 3 within 5 days after PCI; (4) Volunteered to participate in this study and informed consent has been signed.
Exclusion criteria
Exclusion criteria: (1) AMI with uncontrolled severe acute heart failure ; (2) AMI with cardiogenic shock (Killip grade >= I+II), no response to vasopressin; (3) AMI with severe arrhythmia (sustained ventricular tachycardia, ventricular fibrillation), atrioventricular block above grade II, and rapid atrial fibrillation; (4) AMI with mechanical complications (perforation of ventricular septum, rupture of papillary muscle, thrombus in cardiac cavity, rupture of free wall of ventricle); (5) Serious systemic diseases (serious infection, massive hemorrhage caused by anticoagulation and antithrombotic therapy, respiratory failure); (6) History of cerebral hemorrhage and cerebral aneurysm within 3 months; (7) Severe hepatic and renal insufficiency [ALT >= 3 ULN (upper limit of normal), Cr > 134 µ mol / L (2mg / dl) or EGFR < 45ml / min / 1.73m2]. (8) Patients with neuropsychiatric diseases; (9) Malignant tumor; (10) Other pathophysiological states with expected survival less than 1 year; (11) Those who are allergic to the ingredients of this study; (12) Pregnant or lactating women; (13) Patients who participated in other clinical studies of traditional Chinese medicine within three months before selection; (14) Other diseases with clinical significance may cause serious risks to patients.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| LVESVi;LVEDVi; | — |
Secondary
| Measure | Time frame |
|---|---|
| LVEF, E/e’, LAV, GLS;cTnI, NT-proBNP, ST2;Composite endpoint incidence of cardiovascular events; | — |
Countries
China
Contacts
Qilu Hospital of Shandong University