A Cohort Study of Correlation Between Mast Cells and Prognosis in Patients With Acute Myocardial Infarction
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 300
- 主要终点
- Myocardial infarct size
研究概览
简要总结
By including patients with acute myocardial infarction, mast cell markers were analyzed and the relationship between mast cells and patients with acute myocardial infarction was analyzed
详细描述
Percutaneous coronary intervention (PCI) is the best way to improve the prognosis of patients with acute ST-segment elevation myocardial infarction (STEMI). However, ischemia reperfusion injury, inappropriate ventricular remodeling, and myocardial fibrosis may still be present in STEMI after PCI, which may be related to the inflammatory response in STEMI. Mast cells (MC), their degranulation products and induction of a series of inflammatory cytokines play an important role in the inflammatory response. The purpose of this study was to evaluate the relationship between mast cell markers (trypsin, chymotrypsin) levels and prognosis after direct PCI in STEMI patients. We prospectively and continuously included STEMI patients undergoing standard therapy after direct PCI. Clinical data and blood samples were collected and followed up for 1 year to analyze mast cell markers and myocardial infarction size. As well as differences in echocardiography, markers of two-dimensional speck tracking techniques, inflammatory factors and major adverse cardiovascular events, to explore the relationship between mast cells and their products and ventricular remodeling and ischemia-reperfusion injury in STEMI patients, and to provide new ideas for treatment and new basis for optimization of STEMI treatment strategies.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age above 18 years old, regardless of gender;
- •Meet STEMI diagnostic criteria (diagnostic criteria: ischemic chest pain lasting ≥30min; ST segment elevation of more than two adjacent leads or new left bundle branch block in ECG; With or without elevated myocardial markers) and receiving standard care for STEMI.
- •Agree to and cooperate with the study
排除标准
- •The patient is taking or planning to take long-term oral or intravenous glucocorticoids (inhaled and topical hormones are allowed);
- •Allergic diseases, autoimmune diseases or malignant tumors.
- •Patients with metal implants or claustrophobia are not allowed to undergo an MRI examination;
- •Pregnancy or lactation
结局指标
主要结局
Myocardial infarct size
时间窗: 3 months after myocardial infarction
Myocardial infarct size was assessed by cardiac MRI
次要结局
- Left ventricular ultrasound strain(24 hours, 1 month, 3 months, and 12 months after myocardial infarction)
- left ventricular systolic function(24 hours, 1 month, 3 months, and 12 months after myocardial infarction)
- inflammatory marker such as TNF-α(24 hours, 1 month, 3 months, and 12 months after myocardial infarction)
- inflammatory markers e.g. IL1, IL6(24 hours, 1 month, 3 months, and 12 months after myocardial infarction)
- MC marker (chymotrypsin)(24 hours, 1 month, 3 months, and 12 months after myocardial infarction)
- major adverse cardiovascular events(12 months)