Acute coronary syndrome (STEMI) CHA2DS2-VASc score CHA2DS2-VASc-HS score CHH-T score thrombolytic failure failed thrombolysis, STEMI
Conditions
Interventions
Lack of symptom relief (persistent chest pain)
Worsening ischemia
The presence of hemodynamic and/or electrical instability
Summation of ST-segment (ST-elevation and depression) decrease less than 70
Diagnostic,Diagnostic
Thrombolytic failure,Successful reperfusion
Sponsors
Faculty of medicine, Chiang Mai university
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Age > 18 years 2. Diagnosed ST-segment elevate acute myocardial infarction who received non-specific thrombolytic agent (SK) based on the decision of physician according to recommended doses from Chiang Mai cardiac networks
Exclusion criteria
Exclusion criteria: 1. No following electrocardiogram from any cause 2. Hemodynamic and/or electrical instability 3. Death before result interpretation 4. Contraindication to a thrombolytic agent such as previous intracranial hemorrhage or stroke of unknown origin at anytime, ischemic stroke in the preceding 6 months, central nervous system damage or neoplasms or arteriovenous malformation, recent major trauma/surgery/head injury (within the preceding month), gastrointestinal bleeding within the past month, known bleeding disorder, aortic dissection, non-compressible puncture in the past 24 hours (e.g. liver biopsy, lumbar puncture)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Predictive of CHA2DS2-VASc, CHA2DS2-VASc-HS score for thrombolytic failure 1 day CHA2DS2-VASc score, CHA2DS2-VASc-HS score | — |
Secondary
| Measure | Time frame |
|---|---|
| Predictive of CHA2DS2-VASc -HST(CHH-T) and CA2T score for thrombolytic failure 1 day CHA2DS2-VASc -HST(CHH-T) and CA2T score | — |
Countries
Thailand
Contacts
Public ContactPanupong Pota
Faculty of medicine, Chiang Mai university
Outcome results
None listed