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临床试验/ISRCTN38736987
ISRCTN38736987已完成未知

A randomised, double-blind, placebo-controlled trial assessing the safety and efficacy of intracoronary NITRITE infusion during Acute Myocardial Infarction

Barts and The London NHS Trust (UK)0 个研究点目标入组 80 人开始时间: 2013年1月23日最近更新:
适应症

试验速览

阶段
未知
状态
已完成
发起方
入组人数
80

研究概览

简要总结

研究设计

研究类型
Interventional

入排标准

性别
All

入选标准

  • 1. Patients aged at least 18 years, upper age limit 80 years, male and female
  • 2. Acute ST-elevation myocardial infarction with ECG showing at least 2 mm of ST segment elevation in 2 or more limb leads or 1mm in 2 or more contiguous chest leads, or new left bundle branch block
  • 3. Haemodynamically stable
  • 4. Estimated symptom to balloon or aspiration time < 6 hours
  • 5. A signed and dated written informed consent prior to admission to the study
  • 6. Angiographicallly
  • 6.1. Primary Percutaneous Coronary Intervention (PPCI) indicated for revascularisation
  • 6.2. Single epicardial artery to be treated
  • 6.3. Expected ability to use the over the wire balloon for delivery of nitrite

排除标准

  • 1. Patients already on nitrate Treatment (Nicorandil, ISMN)
  • 2. Previous history of myocardial infarction (MI) or systolic dysfunction
  • 3. Previous coronary artery bypass surgery (CABG)
  • 4. Subjects presenting with cardiogenic shock (SBP <80 mmHg for >30 minutes, or requiring inotropes or emergency IntraAortic
  • Balloon Pump (IABP) for hypotension treatment) or cardiopulmonary resuscitation
  • 5. Current diagnosis of or treatment for malignancy, other than non-melanoma skin cancer
  • 6. Current life-threatening condition other than vascular disease that may prevent a subject completing the study
  • 7. Use of an investigational device or investigational drug within 30 days or 5 half-lives (whichever is the longer) preceding the first dose of study medication
  • 8. Patients considered unsuitable to participate by the research team (e.g., due to medical reasons, laboratory abnormalities, or subject?s unwillingness to comply with all study-related procedures)
  • 9. Severe acute infection, or significant trauma (burns, fractures)
  • 10. Pregnancy
  • 11. Contraindications tocardiac magnetic resonance (CMR) scanning
  • 11.1. Pacemakers, intracranial clips or other metal implants or foreign bodies
  • 11.2. Claustrophobia
  • 11.3. Renal Failure (eGFR<30mls/min)
  • 12. History of alcohol or drug abuse within the past 6 months
  • 13. History of congenital methaemoglobinaemia
  • 14. Angiographically
  • 14.1. Severe vessel tortuosity, diffuse disease or severe calcification is present which may impede successful delivery of the over the wire balloon

研究者

发起方
Barts and The London NHS Trust (UK)

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