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The role of inflammation in myocardial infarction in young patients without cardiovascular risk factors: the "unhappy few" - a pilot study -

The role of inflammation in myocardial infarction in young patients without cardiovascular risk factors: the "unhappy few" - a pilot study - - the unhappy few

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
NL-OMON
Registry ID
NL-OMON46159
Enrollment
40
Registered
2017-09-11
Start date
2018-04-20
Completion date
Unknown
Last updated
2024-02-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

heart attack myocardial infarction

Interventions

acute myocardial infarction
inflammatie

Sponsors

RadboudUMC
Lead Sponsor

Eligibility

Age
18 Years to 64 Years

Inclusion criteria

Inclusion criteria: Cases: 20 patients aged between 18 and 50 year, who presented 1-4 years ago with an acute ST-elevation myocardial infarction without classic cardiovascular risk factors.;controls: 20 healthy controls aged 18 or above. controls will be matched with the cases for age, gender and cardiovascular risk factors.

Exclusion criteria

Exclusion criteria: patients: - If the index patient has: o Coagulation disorder o Diagnosis of vascular disease (e.g. previous myocardial infarction, CVA, etc) o If the index patient has two or more of the following factors present:Hypertension o Hypercholesterolemia o Diabetes mellitus Active smoking or an active smoking history within the last 10 years;controles: o Coagulation disorder o Diagnosis of vascular disease (e.g. previous myocardial infarction, CVA, etc) o If the index patient has two or more of the following factors present:Hypertension o Hypercholesterolemia o Diabetes mellitus Active smoking or an active smoking history within the last 10 years

Design outcomes

Primary

MeasureTime frame
Peripheral blood samples will be drawn for isolation of monocytes and thrombocytes. The primary endpoint are histone marks of chromatin accessibility such as H3K4 trimethylation (H3K4me3) and H3K9me2 in the promoter region of inflammatory cytokines

Secondary

MeasureTime frame
Secondary endpoints are the cytokine release by monocytes in response to stimulation with Toll-like Receptor(TLR)-agonists and the transformation of monocytes in foam cells. Also the specific blood platelet function in these patients will be examined.

Countries

The Netherlands

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)