ST-elevation myocardial infarction (STEMI) microvascular obstruction (MVO) ST Segment Elevation Myocardial Infarction cardiac magnetic resonance imaging microvascular obstruction
Conditions
Interventions
Patients with acute coronary syndrome defined by persistent ST-segment elevation
Diagnostic
Group 1
Sponsors
Faculty of Medicine, Chiang Mai University
Eligibility
Sex/Gender
All
Age
20 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Age >= 20 2. Patients with acute coronary syndrome defined by persistent ST-segment elevation or new-onset left bundle branch block (LBBB) on a 12-lead ECG 3. Patients who were scheduled for PPCI within 12 hours of symptom onset. 4. Evidence of impaired coronary blood flow or coronary artery stenosis/obstruction as identified through coronary angiography (>50% stenosis at culprit artery by visual estimation or software-based technique Quantitative coronary angiography (QCA)) 5. Patients who are indicated for cardiac magnetic resonance imaging for further evaluation, as determined by the responsible physician
Exclusion criteria
Exclusion criteria: 1. Contraindications for MRI: Claustrophobia, pregnancy, estimated glomerular filtration rate eGFR less than 30 mL/min/1.73 mx2, and the presence of certain medical devices, such as cerebral, carotid, or aortic aneurysm clips, deep brain stimulators, and cochlear implants. 2. Inability to provide informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| incidence of microvascular obstruction 2 - 7 days Events | — |
Secondary
| Measure | Time frame |
|---|---|
| independent risk factors 2 - 7 days Risk Factors | — |
Countries
Thailand
Contacts
Public ContactJakkapun Yanyongmathe
Faculty of Medicine, Chiang Mai University
Outcome results
None listed