Missed Outpatient Follow-Up as a Predictor of 1-Year MACE after STEMI in a Thai Shared-Care System: A Matched Case-Control Study

Residual Risk within 1 Year after STEMI with Preserved LVEF in a Shared Care System: A Case-Control Study of Clinical and Behavioral Factors

Status

Active, not recruiting

Phases

Unknown

Study type

Observational

Source

TCTR

Registry ID

TCTR20260407003

Enrollment

Registered

2026-04-07

Start date

2021-01-01

Completion date

Unknown

Last updated

2026-08-03

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

Conditions

ST-elevation myocardial infarction Major adverse cardiovascular events Missed outpatient follow-up Post-myocardial infarction care ST Elevation Myocardial Infarction Major Adverse Cardiovascular Events Appointments and Schedules Continuity of Patient Care Case-Control Studies

Interventions

STEMI patients with preserved LVEF who developed a composite MACE-5 endpoint (cardiovascular death, non-fatal myocardial infarction, ischemic stroke, unplanned revascularization, or heart failure hosp

Diagnostic,Diagnostic

Cases,Controls

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. Diagnosed with STEMI and treated with primary PCI 2. Discharged with left ventricular ejection fraction 50% or above 3. Enrolled in outpatient follow-up under a Shared-Care system at Pattaya Bhattamakun Hospital, Chonburi 4. Follow-up period of 365 days post-discharge between 2021 and 2025

Exclusion criteria

Exclusion criteria: 1. Left ventricular ejection fraction below 50% at discharge 2. Incomplete medical records 3. Transferred out of the hospital service area for follow-up care 4. In-hospital death prior to discharge

Design outcomes

Primary

Measure	Time frame
Major adverse cardiovascular events 365 days post-discharge Composite of cardiovascular death, non-fatal myocardial infarction, ischemic stroke, unplanned revascularization, and heart failure hospitalization confirmed by electronic medical records	—

Secondary

Measure	Time frame
Non-fatal myocardial infarction 365 days post-discharge Diagnosed based on the ESC 2018 Universal Definition (ECG changes and elevated troponin levels),Cardiovascular death 365 days post-discharge Death resulting from an acute myocardial infarction, sudden cardiac death, heart failure, or stroke. Defined by ICD-10 codes I21-I25, I46, and I50.,Heart failure hospitalization 365 days post-discharge Admission requiring intravenous diuretics or inotropic support based on Framingham criteria.,Unplanned revascularization 365 days post-discharge Any unplanned percutaneous coronary intervention or coronary artery bypass grafting confirmed via medical records.,Ischemic stroke 365 days post-discharge New neurological deficit confirmed by CT or MRI brain imaging.	—

Measure

Time frame

Non-fatal myocardial infarction 365 days post-discharge Diagnosed based on the ESC 2018 Universal Definition (ECG changes and elevated troponin levels),Cardiovascular death 365 days post-discharge Death resulting from an acute myocardial infarction, sudden cardiac death, heart failure, or stroke. Defined by ICD-10 codes I21-I25, I46, and I50.,Heart failure hospitalization 365 days post-discharge Admission requiring intravenous diuretics or inotropic support based on Framingham criteria.,Unplanned revascularization 365 days post-discharge Any unplanned percutaneous coronary intervention or coronary artery bypass grafting confirmed via medical records.,Ischemic stroke 365 days post-discharge New neurological deficit confirmed by CT or MRI brain imaging.

—

Countries

Thailand

Contacts

Public ContactChalat Neerapattanakul

Pattaya Bhattamakun Hospital

sarsaban@cbo.moph.go.th038 429 244

Outcome results

None listed

Source: TCTR (via WHO ICTRP) · Data processed: Aug 10, 2026