E11.9
Conditions
Interventions
Group 1: Patients with diabetes mellitus and myocardial infarction under SGLT2-inhibitor therapy or without in the University heart Center Freiburg- Bad Krozingen.
Sponsors
Universitäts-Herzzentrum Freiburg-Bad Krozingen
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Acute myocardial infarction at presentation (ECG and/or laboratory findings) and diabetes mellitus type 2 Ongoing therapy with an SGLT-2i or control patients without SGLT-2i
Exclusion criteria
Exclusion criteria: Out of hospital cardiac arrest
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| BIOMARKERS • Maximum, observed serum level (max. 72 hours after revascularization): • Troponin (normalized on the myocardial area at risk) • CK-MB (normalized on the myocardial area at risk) • proBNP ECHOCARDIOGRAM • LV-EF during the index hospitalisation (prior discharge) • Diastolic LV-dysfunction (E/e´ mean > 14, LA > 34 ml/m2, TR velocity > 2,9 m/s) CLINICAL OUTCOMES: • In-hospital survival • Killip class 3 or 4 during the index hospitalization • Killip class 2 during the index hospitalization • Life-threatening ventricular arrhythmiaStent thrombosis (Type 4b MI per UDMI) during index hospitalisation • acute kidney injury assessed by elevation of serum Creatinin and/or decrease of eGFR (according to the RIFLE criteria 10.1186/cc2872) • Days hospitalized • Days ICU treatment | — |
Primary
| Measure | Time frame |
|---|---|
| The maximum observed serum level of cardiac TroponinT in the first 72 hours after revascularization normalized on the myocardial area at risk as determined by coronary angiography. | — |
Countries
Germany
Outcome results
None listed