Acute Coronary Syndrome, Coronary Artery Disease
Conditions
Keywords
coronary angioplasty
Brief summary
SRACE is an multicenter observational database of outcomes for patients who are hospitalized with an acute coronary events. SRACE includes over 20 hospitals in Shanghai China that have enrolled a total of more than 3,000 patients since 2005, with an annual enrollment of 500 patients. The major purpose of the SRACE program is to evaluate the prognosis of patients admitted to the hospital due to acute coronary events, comparing different therapeutic strategies, in-hospital transferring system, and so on. All participating physicians receive confidential quarterly reports showing ther outcomes side-by-side with the aggregate outcomes of all participating hospitals.
Detailed description
consecutive patients with STEMI who presented symptoms within 12 hours and treated by primary PCI in Shanghai, were enrolled in the prospective sysytem. Several strategies were applied in these patients, including physician vs. patient transfer strategy, upsteam vs. downstream strategy, Firebird stent vs. Excel stent (bio-absorbable SES), etc. Once the patient was randomized to one of these study, he will be denied to the others. Clinical and angiographic outcomes were compared, with the final purpose to find an optimal strategy in treating AMI patients.
Interventions
drug-eluting stent, including sirolimus-eluting, paclitaxel-eluting and other types of China-made drug-eluting stent
upstream (in emergency room) versus downstream (in catheterization lab) intra-coronary loading versus conventional intravenous loading
Sponsors
Study design
Eligibility
Inclusion criteria
* patients admitted to the hospital with acute coronary syndrome and received medical or interventional treatment
Exclusion criteria
* non ACS patients; * complicated with other lethal disease * predicted life span less than 12 months * known allergy history to any anti-platelet or anti-thrombin medicine * unconscious at the time of arrival at the hospital
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| major adverse cardiac events(MACE), including death, non-fatal re-MI, and target vessel revascularization | in-hospital, 30d, and long-term follow-up |
Secondary
| Measure | Time frame |
|---|---|
| stroke, stent thrombosis | in-hospital, 30d, and long-term follow-up |
Countries
China