Acute Myocardial Infarction
Conditions
Keywords
bone marrow, cell transplantation, stem cells, PTCA
Brief summary
We will study in a prospective randomised fashion 50 patients who will be treated by intracoronary transplantation of autologous, mononuclear bone marrow cells (BMCs) in addition to standard therapy after MI or standard therapy. After standard therapy for acute MI, 10 patients were transplanted with autologous mononuclear BMCs via a balloon catheter placed into the infarct-related artery during balloon dilatation (percutaneous transluminal coronary angioplasty). Another 10 patients with acute MI were treated by standard therapy alone. After
Detailed description
Experimental and clinical data suggest that bone marrow-derived cells may contribute to the healing of myocardial infarction (MI).
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Recent acute transmural anterior myocardial infarction, (in agreement with WHO) * single left anterior descending coronary artery disease * \<72 hour from the origin of symptoms * successful primary angioplasty of the culprit lesion
Exclusion criteria
* screening \>72 hours after infarction, * cardiac shock, severe comorbidity, alcohol or drug dependency * severe comorbidity (DM,renal or liver insufficiency) * potential child bearing woman * inability to provide informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Mortality | — |
| Mortality and Morbidity | — |
| Left ventricular function | — |
Secondary
| Measure | Time frame |
|---|---|
| Stress induced myocardial ischemia | — |
| Left ventricular remodeling | — |
| Cell dose response | — |
| Heart rate variability | — |
| Baroreflex sensitivity | — |
Countries
Italy