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Correlation of Blood Serum Renalase and Microcirculation Obstruction in Patients with Acute Myocardial Infarction After Primary Percutaneous Coronary Intervention

Recruiting
Conditions
Acute Myocardial Infarction
Registration Number
NCT06669520
Lead Sponsor
The Third Xiangya Hospital of Central South University
Brief Summary

This research will explore the association between blood serum renalase and microcirculation obstruction in patients with acute myocardial infarction (AMI) after primary percutaneous coronary intervention (PCI). The investigators aim to identify potential risk factors for microcirculation obstruction in AMI patients after PPCI.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
200
Inclusion Criteria
  1. Age ≥ 18 years;
  2. STEMI symptom onset time < 12 hours;
  3. STEMI symptom onset time 12-48 hours with persistent ischemic symptoms, hemodynamic instability, or life-threatening ventricular arrhythmias;
  4. High-risk NSTEMI;
  5. Emergency PCI;
  6. Voluntary informed consent.
Exclusion Criteria
  1. Non-obstructive acute myocardial infarction;
  2. Severe chronic kidney disease (defined as estimated glomerular filtration rate < 20 mL/min per 1.73 m²);
  3. Life expectancy < 1 year;
  4. Pregnant or planning to become pregnant;
  5. Emergency PCI failure.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Number of Participants with Microvascular Obstruction Assessed by Contrast-Enhanced Magnetic Resonance Imaging 3-7 Days After Percutaneous Coronary Intervention.3-7 days after PPCI

Microvascular obstruction (MVO) was qualitatively recognized as a subendocardial lack of enhancement at first-pass perfusion (FPP) sequences and as a hypointense region within the hyperintense infarcted area at early gadolinium enhancement (EGE) and late gadolinium enhancement (LGE) sequences.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

The Third Xiangya Hospital of Central South University

🇨🇳

Changsha, Hunan, China

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