Acute ST Segment Elevation Myocardial Infarction
Conditions
Brief summary
The aim of this study is to evaluate the effects of N-acetyl cysteine on major cardiac and cerebral events in patients undergoing primary percutaneous coronary intervention who have moderate to high risk for contrast induced nephropathy. In a sub-group of patients coronary flow reserve will be evaluated.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with Acute ST Elevation Myocardial Infarction undergoing Primary Percutaneous Coronary intervention Who Have Moderate to High Risk For Contrast Induced Nephropathy (Mehran Score ≥5)
Exclusion criteria
* Patients \>18 years old with moderate to high risk for contrast induced nephropathy undergoing percutaneous coronary intervention * Low risk for contrast induced nephropathy (Mehran Score \<5) * Use of nephrotoxic agents (NSAIDs, aminoglycosides,recent contrast injection...) * Infection * Pregnancy, Lactation * Renal failure requiring dialysis * Hepatic failure * Allergy to NAC * History of Asthma * Chronic nitrate usage * Malignancy * Use of corticosteroids * Leucocytosis,Thrombocytosis,Anemia * Blood pressure of \>180/100mmHg despite anti-hypertensive therapy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Major cardiac and cerebral events | 1 year |
Secondary
| Measure | Time frame |
|---|---|
| NAC side effects (Asthma exacerbation, Pruritus, Dyspnea) | during hospitalization at 48 hours |
Countries
Turkey (Türkiye)