Reperfusion Injury, Myocardial, STEMI - ST Elevation Myocardial Infarction
Conditions
Brief summary
This study aims to determine whether combination with regulatory T cell (Treg) levels and cardiac magnetic resonance imaging (CMR) are predictive of the severity of reperfusion injury following myocardial infarction and the prognosis in STEMI patients receiving primary percutaneous coronary intervention (PPCI).
Interventions
This is an observational study. Exposure: Different Treg levels and CMR results.
Sponsors
Study design
Eligibility
Inclusion criteria
* Confirmed STEMI diagnosis * Undergoing primary percutaneous coronary intervention (presenting \<12 hours after symptom onset) * Patients were able to complete cardiac magnetic resonance imaging (CMR) and speckle tracking imaging echocardiogram (STE) examinations * Patients agreed and provided informed consent
Exclusion criteria
* Previous myocardial infarction or revascularization (PCI or CABG) * Congestive heart failure with LVEF\<40% * Atrial fibrillation * Renal insufficiency (GFR \< 30 ml/min/1.73m\^2) * Acute infectious diseases within nearly 3 months * Rheumatic immune system diseases * Malignant tumors * Claustrophobia * Contraindicated to CMR * Patients do not agree to be included in the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| MACE (major adverse cardiovascular events) | 12 months | nonfatal or fatal myocardial infarction, revascularization, cardiac death, nonfatal or fatal stroke, all cause of death |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| adverse cardiac remodeling | 6 months | a cut-off value of 12% change in left ventricular end-diastolic volume between the acute and follow-up magnetic resonance scans |
Countries
China