ST-segment elevation myocardial infarction. myocardial infarction specified as acute or with a stated duration of 4 weeks (28 days) or less from onset
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Inclusion criteria: ST elevation myocardial infarction (MI) Exclusion criteria: patients presenting with ST-elevation myocardial infarction after 12 hours from symptoms onset; patients presenting with vasospastic angina (determined by resolution of ST segment elevation, and relief of symptoms after intravenous administration of nitroglycerin); patients presenting with non-ST elevation MI; contraindications for antiplatelets such as bleeding disorder including gastrointestinal bleeding, hematuria, or any known bleeding tendency either inherited or acquired; thrombocytopenia (Platelet count less than 100.000 per microliter; recent (less than 6 months) stroke; intracranial hemorrhage at any time in patient's life or any known intracranial malformation; cardiogenic shock; left bundle branch block changes on ECG.
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Infarct size. Timepoint: Day 2. Method of measurement: Area under the curve of the cardiac creatine kinase-MB release.;Myocardial reperfusion. Timepoint: First day. Method of measurement: resolution of ST segment elevation.;Reinfarction. Timepoint: Days 1 to 7. Method of measurement: Recurrent symptoms suggestive of ischemia with new ST-segment elevation and/or elevation of serum cardiac markers levels. | — |
Countries
Iran (Islamic Republic of)
Contacts
Shahid Beheshti Cardiovascular Research Center