Acute inferior myocardial infarction(AIMI)
Conditions
Interventions
Control group:Intravenous temporary pacemaker implantation
Experimental group:The patient underwent emergency PCI under the protection of non-invasive external cardiac pacing.
Sponsors
Affiliated Hospital of Yanbian University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: (1) Age >=18 years, no gender restrictions; (2) Meets diagnostic criteria for acute inferior myocardial infarction (AIMI) (refer to the 2019 Guidelines for Diagnosis and Treatment of Acute ST-Elevation Myocardial Infarction): Persistent chest pain lasting >10–20 minutes, unrelieved by rest or sublingual nitroglycerin; ECG showing ST-segment elevation >0.1 mV in leads II, III, and aVF; elevated serum cardiac injury markers (e.g., troponin, creatine kinase isoenzymes); (3) Scheduled for emergency PCI within 12 hours of symptom onset; (4) The patient or their legal representative voluntarily signs a written informed consent form, agreeing to complete the entire study and follow-up.
Exclusion criteria
Exclusion criteria: 1. Patients with combined cerebral hemorrhage; 2. Patients with malignant tumors; 3. Patients with severe liver or kidney dysfunction; 4. Patients with coagulation disorders; 5. Patients with severe valvular heart disease; 6. CABG patients, etc.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pacing efficacy;Postoperative LVEF and LVEF recovery rate at 3 months postoperatively;Operating time; | — |
Secondary
| Measure | Time frame |
|---|---|
| Intraoperative drug use;Reperfusion injury and occurrence of malignant arrhythmias;Perioperative complications;Occurrence and improvement of high-grade atrioventricular block;Length of stay;The occurrence of cardiovascular events during the 6-month follow-up period after surgery;Incidence rate of malignant arrhythmia;Need for defibrillation;LVEF value; | — |
Countries
China
Contacts
Public ContactYuzi Li
Yanbian University Affiliated Hospital
Outcome results
None listed