WAMIF: Prospective Study in Young Women Presenting Acute Myocardial Infarction in France: Clinical, Morphological and Biological Descriptive Analysis: Cohort Follow up
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Sponsor
- Enrollment
- 314
- Locations
- 1
- Primary Endpoint
- Death from any cause
Study Overview
Brief Summary
The WAMIF study was conducted from 2017 to 2019, including 314 patients in 30 French research centers spread across metropolitan France. It systematically collected the clinical, morphological, and biological characteristics of myocardial infarction cases affecting women under 50 years of age and assessed their short-term (in-hospital) and medium-term (12-month) prognosis. Extending the follow-up beyond 12 months for this first study would provide fundamental data for understanding and improving the care of these patients.
Detailed Description
The WAMIF study was conducted from 2017 to 2019, including 314 patients in 30 French research centers spread across metropolitan France. It systematically collected the clinical, morphological, and biological characteristics of myocardial infarction cases affecting women under 50 years of age and assessed their short-term (in-hospital) and medium-term (12-month) prognosis. The main results were: a particularly high incidence of modifiable risk factors affecting 86% of patients, with smoking being the primary cause in 75% of them.The clinical presentation found chest pain in more than 90% of cases. The pathophysiological forms of acute coronary syndrome identified the culprit artery in 90% of cases, a form without obstruction (MINOCA) was found in 17.8% of ST segment elevation infarctions (STEMI), spontaneous dissection in 14.6% of STEMI and 16.3% of NSTEMI.At 12 months, follow-up showed no cardiovascular deaths and two deaths related to neoplastic causes. At the end of this follow-up, 90% had no events. Compared to existing studies, these event rates are extremely low. Extending the follow-up beyond 12 months for this first study would provide fundamental data for understanding and improving the care of these patients. The secondary objective is the evaluation of the quality of life and mental health of women who have had an MI before the age of 50 years at a distance from the acute event.
Study Design
- Study Type
- Observational
- Observational Model
- Cohort
- Time Perspective
- Prospective
Eligibility Criteria
- Ages
- 18 Years to 60 Years (Adult)
- Sex
- Female
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •All patients who participated in the WAMIF study (research registration number with the French Ministry of Health : 2015-A01263-46 / Protocol registration with Clinical Trials NCT03073447) and wish to continue follow-up in the study.
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Death from any cause
Time Frame: 5 to 10 years after the participation in WAMIF study
Number of patient who died from any cause since their participation in WAMIF study
Cardiovascular death
Time Frame: 5 to 10 years after the participation in WAMIF study
Number of patient who died from cardiovascular cause since their participation in WAMIF study
Stent thrombosis
Time Frame: 5 to 10 years after the participation in WAMIF study
Number of patient who had stent thrombosis since their participation in WAMIF study
Stroke
Time Frame: 5 to 10 years after the participation in WAMIF study
Number of patient who had stroke since their participation in WAMIF study
Recurrent myocardial infarct
Time Frame: 5 to 10 years after the participation in WAMIF study
Number of patient who had recurrent myocardial infarct since their participation in WAMIF study
Emergency revascularization
Time Frame: 5 to 10 years after the participation in WAMIF study
Number of patient who had emergency revascularization since their participation in WAMIF study
Major bleeding
Time Frame: 5 to 10 years after the participation in WAMIF study
Number of patient who had since major bleeding their participation in WAMIF study
Emergency hospitalization for heart failure
Time Frame: 5 to 10 years after the participation in WAMIF study
Number of patient who had emergency hospitalization for heart failure since their participation in WAMIF study
Emergency department visit
Time Frame: 5 to 10 years after the participation in WAMIF study
Number of patient who went to emergency department since their participation in WAMIF study
Secondary Outcomes
- Anxiety score(5 to 10 years after the participation in WAMIF study)
- Stress score(5 to 10 years after the participation in WAMIF study)
- Depression score(5 to 10 years after the participation in WAMIF study)
- Quality of life score(5 to 10 years after the participation in WAMIF study)