Myocardial Infarction, Percutaneous Coronary Intervention, Thrombolytic Therapy
Conditions
Keywords
No-Reflow Phenomenon
Brief summary
The purpose of this study is to determine whether intracoronary selective thrombolysis are more effective than tirofiban on the coronary flow during primary percutaneous coronary intervention for the acute myocardial infarction.
Interventions
intracoronary bolus infusion using selective catheter during PCI
20mg intracoronary bolus infusion using selective catheter during PCI
10ug/kg intracoronary bolus infusion using selective catheter during PCI
Sponsors
Study design
Eligibility
Inclusion criteria
* ST-segment elevation AMI within 12 hours of symptom onset
Exclusion criteria
* Contraindications to thrombolysis or PCI * Patients administered a fibrinolytic agent before PCI * Patients enrolled in clinical trials
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Coronary flow using corrected Thrombolysis In Myocardial Infarction Frame Count (cTFC) | At the end of Percutaneous Coronary Intervention procedure |
Secondary
| Measure | Time frame |
|---|---|
| ST segment resolution in ECG | 3 hours post PCI procedure |
| peak troponin T level | in the 7 days post PCI procedure |
| infarction area confirmed by SPECT | 30 days post PCI |
| incidence of major adverse cardiac events (MACE) defined as the composite of death, myocardial infarction and target vessel revascularization | 30 days post PCI |
| plasma N terminal-proBNP levels | 1 and 30 days post PCI procedure |
Other
| Measure | Time frame |
|---|---|
| TIMI defined total major bleeding | 30 days post PCI |
Countries
China