Cardiology
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients presenting with STEMI within 12 hours from the symptom onset characteristic symptoms of typical chest pain new ST elevation at the J-point in at least two contiguous leads: =2.5 mm in men <40 years, =2 mm in men =40 years, new ST elevation at the J-point in at least two contiguous leads =1.5 mm in women in leads V2–V3 and/or =1 mm in the other leads the absence of left ventricular hypertrophy or left bundle branch block [LV] hypertrophy or left bundle branch block [LBBB]).
Exclusion criteria
Exclusion criteria: undergoing primary PCI for stent thrombosis, AMI presenting beyond 12 hours following the onset of symptoms, history of coronary Artery Bypass Grafting (CABG)/MI history of cardiogenic shock.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| monitoring of cardiac arrhythmias (premature ventricular beats, ventricular tachycardia, atrial fibrillation, heart block, premature atrial beats) and assessment of QT dispersion. ST resolution at 60 minutes (detected by ECG). -Total hospital stay period in days. -Incidences of MACE including cardiac death, nonfatal reinfarction (when ST-elevation=1 mm recurs or new pathognomonic Q waves appear in at least two contiguous leads with ischemic symptoms and require more than 20% increase of the cTn value in the second sample), stroke and heart failure (either new onset or worsening after revascularization). -The occurrence of contrast-induced nephropathy (an increase of 25% or more, or an absolute increase of 0.5 mg/dl or more in serum creatinine from baseline value, at 48–72 h following the exposure to contrast media). -Major bleeding (requiring transfusion). | — |
Secondary
| Measure | Time frame |
|---|---|
| Occurrence of MACE (cardiac death, reinfarction, stroke, and heart failure). ECG (rhythm and ischemic changes). Echocardiography (assessment of LV dimensions and function, the presence & severity of mitral regurgitation). | — |
Countries
Egypt
Contacts
Professor of cardiology AlAzhar uiversity Assiut