myocardial damage due to PCI MedDRA version: 9.1 Level: LLT Classification code 10065554 Term: Myocardial infarction prophylaxis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: · Patients accepted for elective single, native vessel (left anterior descending, right coronary artery or ramus circumflexus (LAD, RCA or RCX)) PCI in the RUNMC or RUNMC cardiology policlinic patients undergoing diagnostic coronary angiography. · Troponin-I =65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: · unstable angina · recent myocardial infarction (STEMI or non-STEMI), during two weeks prior to inclusion · 3-Vessel disease as seen on coronary angiogram · Stenotic laesion in mainstem as seen on coronary angiogram · CABG in medical history · asthma (recurrent episodes of dyspnea and wheezing, or usage of prescribed inhalation medication: i.e. corticosteroids or B2-agonists) · Diabetes Mellitus type I (insuline dependent) · Use of prescribtioned oral anticoagulants (coumarine derivates) · Use of oral corticosteroids · Use of sulfonylurea derivates (glibenclamide, tolbutamide, gliclazide, glimepiride) · Chronic use of Non Steroid Anti-Inflammatory Drugs (NSAID’s)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To study the effect of pretreatment with Persantin (retard, 2dd200mg, at least 3 days) in patients undergoing PCI on periprocedural troponin-I release. ;Secondary Objective: To study the effect of pretreatment with dipyridamole (Persantin Retard, 2dd200mg) in patients undergoing PCI on biomarkers reflecting vascular inflammation (hs-CRP, PLA2, PTX3, IL-6) and insulin resistance (plasma glucose, insulin and adiponectin) before and after pretreatment with dipyridamole and before and after PCI. ;Primary end point(s): Elevated Troponin-I (=0.20 ug/L) 8 hours after PCI | — |
Countries
Netherlands