Myocardial Infarction
Conditions
Keywords
Vitamin D, Myocardial Infarction, Ventricular remodeling, Biomarkers
Brief summary
To study the effect of calcifediol on left ventricular remodeling, mineral metabolism, plasma levels of several prognostic biomarkers and on endothelial function after an anterior myocardial infarction.
Interventions
calcifediol treatment
placebo control group
Sponsors
Study design
Eligibility
Inclusion criteria
* Age ≥ 40 years and maximum 85 years. * Anterior myocardial infarction * Sign informed consent
Exclusion criteria
* Death during the index event * Age younger than 40 or older than 85 years * Previous Infarction * More than 7 days in hospitalization * Systemic inflammatory or autoimmune disease * Concomitant disorders limiting survival * Concomitant cardiomyopathy * Left ventricular hypertrophy \> 16mm in females and \> 17mm in males * eGFR\<45 * LVEF\<30 * Incomplete revascularization * Valvular prosthesis * Aortic stenosis with mean gradient\> 25 mmHg * Moderate or severe valvular regurgitation * Hypersensitivity or intolerance vitamin D supplement o excipient * Blood Calcium \>10.5 mg/dl * Inability to follow. * Difficulty in treatment compliance * Contraindication for MRI, including indication to place a cardiac device * Indication of therapy with vitamin D. Patient desires to take vitamin D. * Drugs or conditions that interfere with the pharmacokinetics of calcifediol
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in cardiac remodeling by MRI | 1 year | It is a composite outcome measure. It will be analyzed by measuring the following parameters: myocardium at risk, size of infarcted myocardium, saved myocardium, ejection fraction, left ventricular telesystolic and telediastolic volumes |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in mineral metabolism parameters | 1 year | It is a composite outcome measure. It will be analyzed by measuring plasma levels of calcidiol, FGF-23, klotho, phosphate, and PTH |
| Change in prognostic biomarkers levels | 1 year | It is a composite outcome measure. It will be analyzed by measuring plasma levels of NT-proBNP, hsCRP, MCP-1 and galectin-3 |
| Change in lipid levels | 1 year | It is a composite outcome measure. It will be analyzed by measuring plasma levels of TC, LDL, HDL, TG and non-HDL Cholesterol |
| Change in echocardiographic parameters | 1year | It is a composite outcome measure. It will be analyzed by measuring the following parameters: ventricular thickness and diameters, contractility abnormalities, ejection fraction. |
| Adverse event rate | 1.5, 3, 6, 9, 12 and 13 months | — |
| % of treatment compliance | 3, 6, 9 and 12 months | — |
| Change in flow mediated vasodilation | 1 year | — |
Countries
Spain