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The Impact of Antiplatelet Regimens on Bleeding Events and Outcomes in Acute Myocardial Infarction with Cardiogenic Shock Patients Supported by Venoarterial ECMO: A Retrospective Cohort Study

The Impact of Antiplatelet Regimens on Bleeding Events and Outcomes in Acute Myocardial Infarction with Cardiogenic Shock Patients Supported by Venoarterial ECMO: A Retrospective Cohort Study

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
ChiCTR
Registry ID
ChiCTR2500107960
Enrollment
Unknown
Registered
2025-08-21
Start date
2025-09-15
Completion date
Unknown
Last updated
2025-08-25

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Acute myocardial infarction complicated with cardiogenic shock

Interventions

Sponsors

Huai'an First People's Hospital
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Male or female aged 18 to 80 years; 2. Acute myocardial infarction (STEMI/NSTEMI) with cardiogenic shock and ECMO support >=24 hours; 3. Receiving antiplatelet therapy: aspirin alone, 1 P2Y12 receptor antagonist: clopidogrel or ticagrelor, or dual antiplatelet therapy: aspirin 1 P2Y12 receptor antagonist: clopidogrel or ticagrelor.

Exclusion criteria

Exclusion criteria: 1.Patients were excluded if they had undergone coronary revascularization within the past 3 months or were currently taking oral anticoagulants; 2.Patients were excluded if they had received oral antiplatelet agents or intravenous glycoprotein IIb/IIIa inhibitors within 7 days of hospital admission; 3.Patients with a history of large-territory cerebral infarction or intracranial hemorrhage; 4.Patients with active bleeding or significant hemorrhagic diathesis (e.g., intracranial hemorrhage) requiring anticoagulation-free ECMO support; 5.Pregnant or lactating women.

Design outcomes

Primary

MeasureTime frame
Major bleeding events during ECMO support, defined as Bleeding Academic Research Consortium (BARC) type 3 or higher;

Secondary

MeasureTime frame
30-day all-cause mortality;Incidence of ischemic events during ECMO support;ECMO weaning success rate;

Countries

China

Contacts

Public ContactHuang Ying

Huai'an First People's Hospital

huangying5249@163.com+86 517 85801687

Outcome results

None listed

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