Sevoflurane Sedation During Primary Percutaneous Coronary Intervention.
Overview
- Phase
- Phase 2
- Intervention
- Oxygen + Sevoflurane
- Conditions
- Acute Myocardial Infarction
- Sponsor
- Lawson Health Research Institute
- Enrollment
- 50
- Locations
- 1
- Primary Endpoint
- Infarct size by area under the curve of cardiac markers.
- Status
- Completed
- Last Updated
- 11 years ago
Overview
Brief Summary
Ischemic postconditioning can reduce myocardial injury following myocardial infarction.
A potential pharmacological agent is the anesthetic Sevoflurane. The investigators' hypothesis is that sevoflurane during primary percutaneous coronary intervention (PCI) will reduce infarct size.
Detailed Description
Patients with first STEMI that will be treated by primary PCI, will be randomized to sedation with Sevoflurane during the procedure or to usual care.
Investigators
Shahar Lavi
Principal Investigator
Lawson Health Research Institute
Eligibility Criteria
Inclusion Criteria
- •First STEMI, presenting within 6 hours after the onset of chest pain
- •Symptoms lasting \> 30 minutes
- •Persistent ST-segment elevation \> 0.1 mV in 2 or more contiguous leads
Exclusion Criteria
- •Hypersensitivity to sevoflurane or other halogenated agents
- •Malignant hyperthermia
- •Cardiac arrest
- •Cardiogenic shock
- •Previous myocardial infarction or coronary bypass surgery
- •Pre-infarction angina
- •Heart failure (NYHA III/IV)
- •Chronic inflammatory disease
- •Severe renal impairment
- •Hepatic dysfunction
Arms & Interventions
1
Sevoflurane
Intervention: Oxygen + Sevoflurane
2
Oxygen
Intervention: Oxygen (placebo)
Outcomes
Primary Outcomes
Infarct size by area under the curve of cardiac markers.
Time Frame: 3 days
Secondary Outcomes
- Left ventricular function.(Six month)
- ST segment elevation resolution(90 minutes)
- TIMI flow(60 minutes)
- CRP(24 hours)
- Renal function(48 hours)
- Patient satisfaction(1 hour)