Acute Myocardial Infarction, Revascularization
Conditions
Brief summary
Worldwide, Ischemic heart disease is the single most common fatal disease. One of the most common causes of acute myocardial infarction is represented by obesity. Numerous cardio metabolic variables play a key role in incidence of adverse cardiovascular outcomes. The purpose of this research was to investigate the factors allowing to acute coronary syndrome, related to the metabolic status, to help guide each patient toward early preventing behaviors.
Interventions
OTHERNo intervention. Only observational.
Only collection of data or parameters already required by the medical examination programmed.
Sponsors
Azienda Ospedaliera Universitaria Policlinico G. Martino
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Inclusion criteria
* Patients met the criteria for Acute Coronary Syndrome (ACS) as defined by the Joint European Society of Cardiology/American College of Cardiology Committee. * Patients underwent immediate coronary revascularization (primary PCI) for ST-Elevation Myocardial Infarction (STEMI). * Patients underwent coronary revascularization (early PCI) within 24 hours for Non-ST-Elevation Myocardial Infarction (NSTEMI). * Patients underwent diagnostic coronary angiography following coronary artery bypass graft surgery (CABG).
Exclusion criteria
* Known coronary artery disease or previous ACS. * PCI following CABG. * Cardiogenic shock. * Atrial fibrillation. * Peripheral artery disease. * Severe cardiac valve disease. * Prosthetic aorta.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of Acute Myocardial Infarction (AMI) | 7 years | Occurrence of AMI. Unit of measure: Medical records, electrocardiogram (ECG), cardiac biomarkers |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Left Ventricular Ejection Fraction (LVEF) | 7 years | LVEF before and after revascularization Measurement Tool: Echocardiogram Unit of Measure: Percentage (%) change in LVEF |
| Incidence of Cardiovascular Death | 7 years | Occurrence of cardiovascular death Measurement Tool: Medical records Unit of Measure: Number of cardiovascular deaths per patient-year |
Countries
Italy
Outcome results
None listed