None listed
Conditions
Interventions
Procedure/Surgery : Among patients with non-ST-segment elevation myocardial infarction (NSTEMI), patients with non-infarct related artery (IRA) which has more than 50% diameter stenosis by visual asse
Sponsors
Chonnam National University Hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1) Age = 19 years old 2) Non-ST-segment elevation myocardial infarction ** Angina pectoris or equivalent ischemic chest discomfort with at least 1 of 3 features and, # occurs at rest, usually lasting > 10 minutes # severe and new onset (within the prior 4-6 weeks) # crescendo pattern ** Elevated cardiac biomarkers and, # = 99% value of high-sensitivity cardiac troponin ** No ST-segment elevation = 0.1 mV in = 2 contiguous leads or newly developed left bundle branch block on 12-lead electrocardiogram 3) PCI within 72 hours after symptom development 4) Multivessel disease: Non-IRA with at least 2.5 mm diameter and 50% diameter stenosis by visual estimation 5) Patient's or protector's agreement about study design and the risk of PCI
Exclusion criteria
Exclusion criteria: 1) Cardiogenic shock at initial presentation or after treatment of infarct-related artery(IRA)* 2) Thrombolysis in Myocardial Infarction(TIMI) flow at non-IRA = 2 at initial coronary angiography 3) Severe procedural complications (e.g. persistent no-reflow phenomenon, coronary artery perforation) which restricts study enrollment by operators' decision 4) Non-IRA lesion not suitable for percutaneous coronary intervention(PCI) treatment by operators' decision 5) Chronic total occlusion at non-IRA 6) History of anaphylaxis to contrast agent 7) Pregnancy and lactation 8) Life expectancy < 1-year due to non-cardiac disease 9) Severe valvular disease 10) History of coronary artery bypass graft(CABG), or planned CABG 11) Severe asthma 12) Patient's refusal for study participation * The definition of cardiogenic shock 1) Systolic blood pressure(SBP) < 90mmHg for more than 30min, or needs for vasopressor to maintain equal or more than SBP 90mmHg 2) Pulmonary congestion, or increased left ventricular filling pressure by cardiac catheterization 3) At least one sign of impaired organ perfusion: mental obtundation, pallor, coldness, oliguria, increased blood lactate
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Cumulative incidence rate of all-cause death, non-fatal myocardial infarction, or all unplanned revascularization | — |
Secondary
| Measure | Time frame |
|---|---|
| Contrast-induced nephropathy;All unplanned revascularization;Target-lesion revascularization;Target-vessel revascularization;Non-target vessel revascularization;All-cause death;Cardiac death;Non-cardiac death;Non-fatal myocardial infarction;Hospitalization for unstable angina;Hospitalization for heart failure;Definite or probable stent thrombosis by ARC definition;Ischemic and hemorrhagic stroke;Major bleeding (BARC classification 3 or 5) | — |
Countries
Korea, Republic of
Contacts
Public ContactMin Chul Kim
Chonnam National University Hospital
Outcome results
None listed