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临床试验/NCT07138638
NCT07138638尚未招募不适用

High-Frequency QRS for Predicting Microvascular Dysfunction and Adverse Events After PCI in Acute Myocardial Infarction: A Prospective, Multicenter Cohort Study

The Affiliated Hospital of Xuzhou Medical University1 个研究点 分布在 1 个国家目标入组 1,112 人开始时间: 2025年8月1日最近更新:
适应症

试验速览

阶段
不适用
状态
尚未招募
入组人数
1,112
试验地点
1
主要终点
To evaluate the predictive value of high-frequency QRS (HF-QRS) parameters for major adverse cardiovascular events (MACE) within 1 year after PCI in AMI patients and to construct a prognostic risk prediction model.

研究概览

简要总结

This observational study aimed to investigate the prognostic value of high-frequency QRS (HF-QRS) in patients with acute myocardial infarction (AMI) after percutaneous coronary intervention (PCI), as well as its potential role in diagnosing microvascular dysfunction. The main question it aims to answer is:

  1. Whether HF-QRS could serve as an effective tool for early identification of high-risk AMI patients and prognosis prediction;
  2. Whether HF-QRS provides auxiliary diagnostic value for post-AMI microvascular dysfunction.

Participants underwent HF-QRS assessment and were prospectively followed for 1 year to record the incidence of major adverse cardiovascular events (MACE).

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 75 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Aged 18 to 75 years (inclusive)
  • Diagnosed with acute myocardial infarction (AMI, including STEMI and NSTEMI) and underwent successful emergency PCI
  • Voluntarily participated and provided written informed consent

排除标准

  • History of prior myocardial infarction or chronic heart failure
  • QRS duration >120 ms (including paced rhythm, WPW syndrome, bundle branch block, or left ventricular hypertrophy with repolarization abnormalities)
  • Structural heart disease (congenital heart disease, cardiomyopathy, aortic dissection, etc.)
  • Persistent atrial fibrillation or malignant arrhythmias
  • History of cerebral hemorrhage or ischemic stroke within 1 month
  • Prolonged cardiopulmonary resuscitation or requiring advanced life support (IABP/ECMO, etc.)
  • Scheduled for imminent surgery with anticipated inability to complete HF-QRS assessment
  • Other life-threatening conditions including: Severe hepatic or renal dysfunction;Uncontrolled systemic diseases;Hematologic disorders;Active infections;Malignancy with life expectancy <1 year Other investigator-determined exclusionary conditions:Pregnancy;Concurrent participation in other clinical trials
  • Refusal to participate in the clinical study

结局指标

主要结局

To evaluate the predictive value of high-frequency QRS (HF-QRS) parameters for major adverse cardiovascular events (MACE) within 1 year after PCI in AMI patients and to construct a prognostic risk prediction model.

时间窗: 12 months

次要结局

  • To evaluate the adjunctive diagnostic value of high-frequency QRS parameters for microvascular dysfunction in ACS patients following percutaneous coronary intervention(12 months)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (1)

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