ST Elevation Myocardial Infarction
Conditions
Keywords
Acute Myocardial Infarction, Cardiac Remodelling, Heart Failure
Brief summary
ST-segment elevation myocardial infarction(STEMI) remains a major cause of morbidity and mortality worldwide, despite of the early reperfusion therapy, including fibrinolysis, primary percutaneous coronary intervention (PCI),and standardized medical treatment.To improve the prognosis of STEMI patients, the management in their hospitalization should be optimized, including improvements in risk stratification, more widespread use of an invasive strategy, implementation of care delivery systems prioritising immediate revascularisation through PCI (or fibrinolysis), advances in antiplatelet agents and anticoagulants, and greater use of secondary prevention strategies such as lipid-lowering therapy. This study aims to standardized the management of STEMI patients and improve the prognosis of the STEMI patients.
Detailed description
This study is a prospective cohort study. It aims to standardized the management of STEMI patients and improve the prognosis of the STEMI patients.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* ST elevation myocardial infarction * Coronary angiography and percutaneous coronary intervention within 12 hours of symptom onset * Capable and willing to provide informed conset and capable of completing study visits
Exclusion criteria
* Cardiovascular shock at admission * Severe physical disability * Active malignant tumors * Active autoimmune diseases
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| MACE | 0-1 year | Major adverse cardiovascular events(MACE) in one year follow-up |
| Left Ventricular Function | 1 month, 6month and 1 year | Left ventricular end diastolic volume(LVEDV),Left ventricular end systolic volume(LVESE),Left ventricular ejection fraction(LVEF) changes within one year follow-up |
| Coronary angiography | 1 year | The pathological changes in culprit vessels in 1 year |
Other
| Measure | Time frame | Description |
|---|---|---|
| Synchronized analysis of phonocardiogram and electrocardiogram | 1 day, 1 month, 6 months, 1 year | Synchronized PCG and ECG data using a wearable cardiac monitoring patch |
Countries
China