BCM, hFABP, Left Ventricular Dysfunction, Oxidative Stress, Oxidative Stress Induction, Primary PCI, STEMI
Conditions
Brief summary
The investigators intend to evaluate Oxidative Stress biomarkers through a. Catalase Activity Assay; b. Lipid Peroxidation Assay; c. SOD Assay; d. Total Antioxidant Capacity Assay; e. Glutathione Peroxidase at patients with acute myocardial infarction STEMI referred for primary PCI; The investigators also aim to evaluate cardiac necrosis by measuring Heart Fatty Acid Binding Protein (H-FABP), TnI, CK, CK-MB, LDH and AST in these patients with acute myocardial infarction referred for primary PCI; Also, the investigators intend to evaluate body composition through bioimpedance spectroscopy (BCM - Fresenius Care) at the moment of admission. The investigators aim to fully characterise these patients through oxidative millieu, hFABP and make correlations with LVEF dysfunction.
Detailed description
Gathered data: * Descriptive general demographic data; * Previous pathologies (ischemic heart disease, peripheral arterial disease, stroke, heart failure, previous percutaneous coronary interventions, coronary artery bypass grafting - CABG, known renal disease); * Cardiovascular risk factors (age, weight, height, abdominal perimeter, body mass index, smoking, sedentariness, diabetes, hypertension, dyslipidaemia); * Oxidative Stress biomarkers: Catalase Activity Assay; Lipid Peroxidation Assay; SOD Assay; Total Antioxidant Capacity Assay; Glutathione ; * Cardiac necrosis markers: Heart Fatty Acid Binding Protein (H-FABP), TnI, CK, CK-MB, LDH and OGT; * Routine biological data; * Metabolic data (obtained from two body composition monitoring evaluations - before and 12 hours after coronary intervention) - body water, body fat tissue; * Information regarding primary PCI (less than 12 hours of ischemic symptoms); * Coronarographic details, type of used stent, periprocedural specific complications, final TIMI - thrombolysis in myocardial infarction - flow); * Echocardiography at admission (LVEF); * Measurement of arterial stiffness through Sphigmocore pulsed-wave-velocity (24 hrs post-procedural, 2 velocities: carotid - femoral and carotid - radial); * Calculating of cardiovascular risk scores: Syntax Score, Framingham score, ASSIGN score, QRISK2 score, PROCAM score, CRUSADE score, GRACE score, CHADS VASc score, MESA score, ASCVD score, Hamilton Depression Rating Scale (HAM-D), Hamilton Rating Scale for Anxiety; * In-hospital and one month follow-up MACE.
Interventions
Dosing oxidative stress biomarkers and hFABP in STEMI pPCI
Sponsors
Study design
Eligibility
Inclusion criteria
* Adults with ST elevation Myocardial Infarction (\<12h) diagnostic confirmed; * Included in the Romanian National Programme of Primary Percutaneous Revascularisation (for who the Guidelines recommend primary PCI);
Exclusion criteria
* Patients who do not sign informed consent for primary PCI
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Oxidative Stress status in Acute Myocardial Infarction Patients undergoing primary PCI | 1 year | Assessment of oxidative stress status by measuring Catalase Activity Assay; Lipid Peroxidation Assay; SOD Assay; Total Antioxidant Capacity Assay; Glutathione Peroxidase. |
| 2. Cardiac necrosis status in Acute Myocardial Infarction Patients undergoing primary PCI. | 1 year | Assessment of cardiac necrosis by measuring Heart Fatty Acid Binding Protein (H-FABP), TnI, CK, CK-MB, LDH and AST |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Hydation Status in Acute Myocardial Infarction Patients undergoing primary PCI. | 1 year | Assessment of hydration status through body composition monitoring BCM. |
Countries
Romania