Acute Myocardial Infarction
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients who meet all of the following eligibility criteria (1) 18 years of age or older and less than 85 years of age (2) Have one of the following residual lesions at the time of PCI for AMI i) Coronary angiographic stenosis between 25% and 75%. ii) Coronary angiographic stenosis of 75% to less than 90% and FFR >0.80 or Resting Index >0.89 (3) Fasting LDL-C level >55 mg/dL during hospitalization (4) Written consent for participation in the study is obtained from the patient.
Exclusion criteria
Exclusion criteria: (1) eGFR<30 ml/min/1.73m2 (2) Current or historical use of PCSK9 inhibitors or sustained LDL-C-lowering siRNA agents (3) Scheduled PCI or CABG for residual coronary artery lesions under study (4) Complicated congenital heart disease (5) Patients with a permanent pacemaker or internal defibrillation leads (6) Patients after artificial heart valve replacement (7) Patients with arrhythmia or tachycardia that interferes with CT data acquisition (8) Patients with body mass index (BMI) >35 (9) Patients with contraindication to nitrates (10) Patients with no prognosis for more than 1-year (11) Patients who participated in clinical trials with other drugs (11) Patients participating in clinical trials with other drugs (12) Patients under conditions that may interfere with patient safety or protocol compliance (13) Patients who are deemed unsuitable by the principal investigator or sub investigator
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Since this is an exploratory study to determine the efficacy of lipid-lowering therapy for residual coronary plaque in non-culprit lesions in patients undergoing PCI for AMI, the principal investigator or investigators will determine the endpoints and analysis methods after data collection. | — |
Countries
Japan
Contacts
Nara Medical University Department of Cardiovascular Medicine