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Magnetic Resonance Imaging In Acute ST-Elevation Myocardial Infarction

Recruiting
Conditions
Acute ST-Elevation Myocardial Infarction
Interventions
Diagnostic Test: Cardiovascular Magnetic Resonance Imaging
Registration Number
NCT04113356
Lead Sponsor
Medical University Innsbruck
Brief Summary

Cardiovascular magnetic resonance imaging enables comprehensive assessment of cardiovascular function, morphology and pathology. The investigators aim to evaluate the nature and clinical significance of magnetic resonance imaging parameters in patients presenting with first acute ST-elevation myocardial infarction.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
1500
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
ST-Elevation Myocardial InfarctionCardiovascular Magnetic Resonance ImagingPatients with acute ST-elevation myocardial infarction treated with primary percutaneous coronary intervention
Primary Outcome Measures
NameTimeMethod
Occurence of major adverse cardiovascular events1 - 5 years
Secondary Outcome Measures
NameTimeMethod
Aortic pulse wave velocity and distensibility by phase contrast imagingbaseline, 4 months and 12 months
Cardiac function by cine imagingbaseline, 4 months and 12 months
Parameters of cardiac function by transthoracic echocardiographybaseline, 4 months and 12 months
Cardiac autonomic functionbaseline, 4 months and 12 months

Skin sympathetic nerve activity

Plaque volume by 3D ultrasoundbaseline, 12 months
Infarct size assessment (% of left ventricular myocardial mass)baseline, 4 months and 12 months
Assessment of infarct transmurality grade (%) with late gadolinium enhancement imagingbaseline, 4 months and 12 months
Occurence and area of microvascular obstructionbaseline
Intramyocardial haemorrhage assessed by T2* imagingbaseline, 4 months and 12 months
Tissue characterisation by T1, T2 and T2* Mappingbaseline, 4 months and 12 months
Myocardial deformation by strain analysisbaseline, 4 months and 12 months
Aortic pulse wave distensibility by phase contrast imagingbaseline, 4 months and 12 months
Quality of life and invalidity assessment (Global Physical Activity Questionnaire)1 - 5 years
Biomarker release during the acute and subacute phasebaseline, 4 months and 12 months

biomarker concentrations of hemodynamic stress (n-terminal pro-B-type natriuretic peptide), neurohumoral markers (i.e. neprilysin ng/ml), inflammatory markers (i.e. procalcitonin µg/l) and markers of myocardial injury (i.e. high sensitivity cardiac troponin T ng/l)

Chamber volumes by cine imagingbaseline, 4 months and 12 months
Stroke volumes by phase contrast imagingbaseline, 4 months and 12 months

Trial Locations

Locations (2)

University Hospital for Radiology

🇦🇹

Innsbruck, Austria

University Hospital for Internal Medicine III (Cardiology and Angiology)

🇦🇹

Innsbruck, Austria

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