The Microcirculation in Acute Myocardial Infarction (Micro-AMI)
Completed
- Conditions
- STEMI
- Registration Number
- NCT01552564
- Lead Sponsor
- University of Bristol
- Brief Summary
This study investigates the association between the microvascular resistance at the time of primary percutaneous intervention, with microvascular obstruction on CMR and blood markers of myocardial damage.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 50
Inclusion Criteria
- >18 years old
- Cardiac symptoms of > 20 mins chest pain or equivalent.
- ECG criteria consistent with STEMI (STEMI)
- Proceeding with percutaneous angioplasty
- Assent/ consent to the study
Exclusion Criteria
- Known allergy to adenosine or gadolinium
- Chronic atrial fibrillation
- Renal impairment with eGFR <30
- Contraindication to angiography
- Contraindication to CMR (implanted pacemaker/ defibrillator, ferromagnetic metal implant/ injury, claustrophobia, obesity/ too large for CMR scanner)
- Cardiogenic shock
- Patients with special communication needs or altered consciousness.
- Patients who do not give assent/consent to the study
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Microvascular obstruction DAy 2-4 Microvascular obstruction as a percentage of the left ventricle at 2-4 days.
- Secondary Outcome Measures
Name Time Method
Related Research Topics
Explore scientific publications, clinical data analysis, treatment approaches, and expert-compiled information related to the mechanisms and outcomes of this trial. Click any topic for comprehensive research insights.
What molecular mechanisms link microvascular resistance to myocardial damage in STEMI patients?
How does the index of microvascular resistance compare to standard-of-care assessments for predicting microvascular obstruction in STEMI?
Which blood biomarkers correlate with microvascular obstruction on cardiac magnetic resonance in STEMI patients?
What adverse events are associated with primary percutaneous intervention in STEMI patients with microvascular obstruction?
Are there combination therapies with cardiac magnetic resonance that improve outcomes in STEMI patients with microvascular resistance?
Trial Locations
- Locations (1)
Bristol Heart Institute
🇬🇧Bristol, United Kingdom
Bristol Heart Institute🇬🇧Bristol, United Kingdom