Non-STEMI Acute Coronary Syndrome
Conditions
Brief summary
This is a registry of patients with non ST segment elevation Myocardial Infarction (heart attack) and/or unstable acute coronary artery syndrome treated with a standardized protocol including Bivalirudin. Data will be collected on diagnosis, treatment and outcomes.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Age ≥ 18 * Chest pain or symptoms believed to be an anginal equivalent and representing myocardial ischemia, lasting at least 10 minutes within the past 24 hours * Having any one of the following: 1. Ischemic changes on ECG: ST depression \>0.5 mm OR T wave inversion \>2 mm 2. Positive cardiac markers 3. New onset CHF presumed secondary to ischemia 4. Pulmonary edema 5. Known coronary artery disease with typical symptoms 6. Hemodynamic instability 7. Sustained ventricular tachycardia
Exclusion criteria
* For the purpose of the SSDI, patients will be excluded if we are unable to obtain their Social Security Number.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of MACE defined as any one of the following: • Acute myocardial infarction/reinfarction • Ischemia-driven unplanned revascularizations • Stroke • All cause Mortality | 30 days |
Secondary
| Measure | Time frame |
|---|---|
| Rehospitalization for ACS | 30 days |
| All cause mortality | 30 days, one year and up to 5 years |
| Major Bleeding | in hospital and at 30 days |
Countries
United States