Acute Myocardial Infarction
Conditions
Keywords
Tomography, Optical Coherence, STEMI, NSTEMI, Major adverse cardiovascular event
Brief summary
This protocol describes a retrospective, single-center study intended to test the impact of optical coherence tomography(OCT) on long term clincical outcomes in patients with acute myocardial infarction(AMI). All the patients will be followed by intracoronary OCT at medium follow-up of 3 years.
Interventions
patients were divided into two groups,on OCT guided coronary group and coronary angiography guided group
Sponsors
Study design
Eligibility
Inclusion criteria
* Age≥18 years old * Patients undergo cardiac catheterization and percutaneous coronary intervention(PCI) for AMI(STEMI or NSTEMI) ST-segment elevation myocardial infarction was defined according to the universal definition of myocardial infarction, symptoms onset≤ 24h.NSTEMI was defined as elevated troponin levels and the absence of ST elevation at the time of diagnosis, PCI was performed within 24hours after symtoms onset. * Sufficient quality of the OCT recording allowing for CoreLab analysis.
Exclusion criteria
* ostial of Left main disease * Cardiogenic shock or severe hemodynamic instability * Severe renal insufficiency (creatinine clearance ≤30 mL/min) * Bacteraemia or septicaemia * Severe coagulation disorders * Patients with life expectancy less than 1 year * Patients who refuse to sign the informed consent form
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| major adverse cardiovascular event | 3 year | including cardiovascualr death, myocardial infarction, and target lesion revascularization, target vessel revascularization |
Countries
China