Acute myocardial infarction Circulatory System
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients diagnosed with STEMI for the first time, with the following diagnostic criteria: persistent typical chest pain >30 minutes lasting more than 12 hours, accompanied by ST-segment elevation in at least 2 contiguous leads, and an increase in cardiac enzymes, troponin I. 2. Patients who have received information about the study and signed an informed consent. 3. Patients not pregnant, breastfeeding, or planning pregnancy during the study period. 4. Patients without a history of alcohol abuse. 5. Patients not receiving long-term steroid therapy during the study. 6. Patients not currently taking colchicine for other indications (e.g., gout arthritis, familial Mediterranean fever).
Exclusion criteria
Exclusion criteria: 1. Patients with poor medication adherence, as evidenced by the number of missed doses during the study. 2. Patients with a history of hypersensitivity to colchicine. 3. Patients with comorbidities such as infections, inflammation, malignancy, for instance, irritable bowel syndrome (Crohn's Disease or ulcerative colitis), severe renal failure (eGFR 3 times the upper normal limit, Total Bilirubin > 2 times the upper normal limit, Creatinine > 2 times the upper normal limit. 5. Patients who have experienced cardiac arrest. 6. Patients with ventricular fibrillation. 7. Patients with cardiogenic shock or unstable hemodynamics.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Left ventricular remodelling measured using echocardiography during hospitalization and 1 month post-hospitalization | — |
Secondary
| Measure | Time frame |
|---|---|
| Biomarkers (Gal3, IL10, PIIINP and NTProBNP) measured during hospitalization and 1 month post-hospitalization | — |
Countries
Indonesia