PERCUTANEOUS CORONARY INTERVENTION( USING DRUG ELUTING STENTS)
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Consecutive patients suitable for elective coronary stenting using Drug eluting stents will be eligible and recruited for the study Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Exclusion criteria will be history of bleeding diathesis, acute myocardial infarction or acute coronary syndrome/troponin elevation within 14 days, stroke within 3 months, drug or alcohol abuse, pro-thrombin time >1.5 times control, platelet count 4.0mg/dl, or previous use of theinopyridines or GP IIb/IIIa inhibitors
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary end point(s): Inhibition of platelet aggregation (platelet activation), and thereby reduction in thrombosis related ischemic events(troponin I elevation) after elective coronary stenting with Drug eluting stents. ;Main Objective: Primary outcome measure Higher dose clopidogrel loading (600mg) has the same efficacy and rapidity as 300mg clopidogrel loading + GP IIb/IIIa inhibitor (Reopro) infusion in achieving inhibition of platelet aggregation(platelet activation),and thereby reducing thrombosis related ischemic events after elective coronary stenting with Drug eluting stents. ;Secondary Objective: The secondary outcome measures are (a) 24-hour and 30 days MACE (MI/TLR/DEATH) (b) Reduction in peri-procedural troponin release (as a marker of myocardial necrosis) (c) P2Y12 receptor polymorphism (as a cause for non-response) (d) To determine the optimum maintenance dose of clopidogrel to achieve maximum inhibition of platelet aggregation after stenting with drug eluting stents | — |
Countries
United Kingdom