Acute Myocardial Infarction
Conditions
Keywords
Acute myocardial infarction, Fibrinolysis, Health effects /Quality of life
Brief summary
In the district areas of Norway patients with acute myocardial infarction with ST-elevation, are treated with thrombolysis. An increasing part of them receives thrombolysis before arrival to the local hospital.Usually these patients have been sent to an invasive center if thrombolysis fails or the patient gets ischemic symptoms during the stay. This study will compare this strategy against immediate transportation to an invasive center after the patient has received thrombolysis.
Interventions
PROCEDUREPCI
Immediate transport to invasive center after thrombolysis
Sponsors
Helse Innlandet
Ullevaal University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* Duration of painless than 6 hours. * ST-segment elevation of at least 0.1 mV in two or more extremity leads or at least 0.2 mV in two or more precordial leads. * The patient is getting thrombolysis. * Time to reach an invasive center is more than 1 hour. * Age 18-75 years.
Exclusion criteria
* Known serious renal failure (creatinin \> 250 mmol/l) * Pregnancy * Cardiogenic chock * Life threatening arrythmias * Other serious diseases with life expectancy less than 1 year. * Inability to perform an informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Death , myocardial infarction ,stroke or ischemia during 12 months. | 12 months |
| Costs during 12 months. | 12 months |
Secondary
| Measure | Time frame |
|---|---|
| Size of infarction. | 3 months |
| Complications | 1 month |
Countries
Norway
Outcome results
None listed