Myocardial Infarction
Conditions
Brief summary
60 patients admitted to this ICCU at the Sheba medical Center will be randomly divided in to 2 groups. one group will receive the conventional treatment while the second group will receive the conventional treatment plus oxytocin infusion for 48 hours. all participants will undergo echo and cMRI during hospitalization.
Interventions
26 patients will receive Oxytocin infusion for 6h while 26 will receive placebo. all other treatments will be the same and up to date with the current guidelines.
26 patients will receive 0.9% normal saline infusion for 6h as placebo
Sponsors
Study design
Eligibility
Inclusion criteria
* age \> 18 years * current diagnosis of ST elevation myocardial infarction * no previous episodes of acute coronary syndrome * agreed to enter research
Exclusion criteria
* age \< 18 years * congestive heart failure (acute or chronic) * cardiomyopathy * life threatening arrhythmia at presentation * previous LV dysfunction * hypotension (systolic \< 100mmHg, diastolic\<50mmHg, 15% less than patients normal values) * tachycardia - pulse \> 100bpm * bradycardia - pulse \< 55 ppm * killip 3 or 4 at presentation * current use of nitrates * pregnancy * females - history of pathological GU bleeding * inability to give consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| final infarction size | 1 week | all patients will undergo an cMRI after 7 days |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Ejection fraction | 48 hours | all patients will undergo echocardiography exam during the first 48 hours |
Other
| Measure | Time frame | Description |
|---|---|---|
| number on events with ventricular arrythmia | 48 hours | all patients will be continually monitored for ventricular arrhythmia |