Myocardial Infarction in diabetes
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Myocardial infarction and hyperglycemia
Exclusion criteria
Exclusion criteria: 1. A history of insulin dependent diabetes mellitus (note that patients with non-insulin dependent diabetes mellitus can be included). 2. Myocardial ischemia precipitated by a condition other than atherosclerotic coronary artery disease (e.g. arrhythmia, severe anemia, hypoxia, thyrotoxicosis, cocaine, severe valvular disease, hypotension). 3. Known severely-impaired left ventricular function (ejection fraction
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Extend of myocardial damage expressed by Troponin T level at 72 hours. | — |
Secondary
| Measure | Time frame |
|---|---|
| Left Ventricle Ejection Fraction (LVEF) and infarct size at 6 weeks Extend of myocardial damage as expressed by area under CKMB curve. ST segment resolution after 6 hours Serum NTpro BNP values after 0 & 72 hours and 6 weeks Mortality and non fatal re-infarction HbA1C and fasting glucose values at 6 weeks. Biomarkers of (vascular) inflammation, hypercoagulability or neurohumoral activation at admission, 24, 48 and 72 hours and 6 weeks after randomization | — |
Countries
Netherlands