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Thyroxine in acute myocardial infarctio

Phase 4
Completed
Conditions
Subtopic: Metabolic and Endocrine (all Subtopics)
Topic: Metabolic and endocrine disorders
Disease: Metabolic & Endocrine (not diabetes)
Nutritional, Metabolic, Endocrine
Registration Number
ISRCTN52505169
Lead Sponsor
Gateshead Health NHS Foundation Trust
Brief Summary

1. 2015 protocol in http://www.ncbi.nlm.nih.gov/pubmed/25872532 2. 2017 results presented at Society for Endocrinology BES 2017: DOI: 10.1530/endoabs.50.P386 3. 2020 results in https://pubmed.ncbi.nlm.nih.gov/32692386/ (added 22/07/2020)

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
95
Inclusion Criteria

1. Males and females aged between 18-75 yrs
2. Serum TSH between 4.01 -10.00 mU/L with normal free thyroxine levels (9 – 25 pmol/L) on two occasions (on day of admission for AMI and 7-10 days after AMI)
3. Acute myocardial infarction diagnosed on admission to hospital (chest pain with dynamic ECG changes or increase troponin enzymes (at least a fourfold increase above normal range)

Exclusion Criteria

1. Patients on medications affecting thyroid function (levothyroxine, carbimazole, propylthiouracil, amiodarone, lithium)
2. Patients who are unable to provide written informed consent
3. Patients with advanced malignancy (who, in the opinion of the investigator, is unlikely to survive for more than 6 months)
4. Patients with sustained ventricular tachycardia requiring treatment which occurs >24hrs after myocardial re-perfusion/revascularisation
5. Patients who have contra-indications to MR scanning (cardiac pacemaker, metallic heart valves, cochlear implants, coronary artery stents incompatible with MR scanning, etc.)
6. Patients who are unlikely or unwilling, in the opinion of the investigator, to attend for study specific visits
7. Participants whose serum TSH is >10.0 or <4.0 on either occasion
8. Patients who are already participating in another interventional study

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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