Angioplasty, Myocardial Infarction
Conditions
Keywords
abciximab, Myocardial Infarction, angioplasty, Platelet
Brief summary
Intracoronary bolus Abciximab single is non-inferior to intravenous and continuous 12- hours infusion in the size reduction of infarction on cardiac magnetic resonance in Non-ST elevation Myocardial infarction.
Interventions
patients intracoronary bolus only group and intravenous bolus and 12-hours continuous infusion group bolus:0.25mg/kg body weight,continus 12hrs-0.125ug/kg per minute(maximum: 10ug/min)
Sponsors
Study design
Eligibility
Inclusion criteria
* non-ST segment elevation acute myocardial infarction * within 48 hours presence of chest pain * Troponin-T or I positive before CAG * First myocardial infarction * will be performed coronary angioplasty
Exclusion criteria
* under 18 years of age,80 years or older * Bleeding tendency * History of major surgery within 4 weeks * Major stroke within 2 years * Thrombocytopenia (\<120,000 / uL) * Cardiogenic shock * Known allergy to aspirin, heparin, or abciximab * Contraindication of MRI at study entry (implanted pacemakers, defibrillators, intracranial metallic implants etc) * Chronic atrial fibrillation * Pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| In cardiac MRI- infarct size (total late enhancement volume at day 3-7) | day 3~7 after percutaneous coronary intervention | MRI: magnetic resonance image |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| in-hospital and after 1-months:the major adverse cardiovascular events : death, myocardial infarction, hospitalization for heart failure, myocardial ischemia, etc. | 1 month | — |
| b. major bleeding : Hemoglobin 4 or more reduction, 2-unit If you need more than two RBC transfusions, intracranial or retroperitoneal bleeding, urgent operation for bleeding complication. | 1 month | RBC: red blood cell |
| TIMI III flow count /myocardial blush score after PCI | 1 day | TIMI: thrombolysis in myocardial infarction PCI: percutaneous coronary intervention |
| At cardiac MRI : LV ejection fraction,LV end-systolic volume,LV end diastolic volume,regional wall motion score index | 1 week | LV: left ventricle |
| Discharge, 1- month after comparing NT-proBNP | 1 month | NT-proBNP : N-terminal pro-B-Type natriuretic peptide |
Countries
South Korea
Contacts
Assistant professor, Cardiology, Department of internal medicine,Seoul National University Hospital