incidenCe and predictOrs of heaRt fAiLure After Acute coronarY Syndrome: CORALYS
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 10,000
- 试验地点
- 1
- 主要终点
- Incidence of Heart Failure after Acute Coronary Artery Syndrome
研究概览
简要总结
Single-cohort retrospective study evaluating the incidence and prognostic markers of heart failure following acute coronary syndrome treated by percutaneous coronary intervention
详细描述
Acute coronary syndrome (ACS) is the most common cause of heart failure (HF) world-wide. Primary percutaneous coronary intervention (PCI) has deeply improved short and long-term survival after ACS, but his impact on incidence of downstream heart failure still remains unclear and heart failure after ACS represents the major driver of late morbidity, mortality and healthcare cost.
Many predictors and determinant of heart failure after MI have been evaluated, however, to date, the optimal combination of parameters to predict heart failure after MI needs to be defined and very little is known about the prognostic markers in unstable angina setting
The aim of this retrospective study:
- to show the incidence of heart failure after acute coronary artery syndrome, and the relation between the type of ACS and following incidence of HF.
- to clarify which features could be routinely identified as prognostic markers. This study is a multi-center non-randomized, single-cohort retrospective study including consecutive patients with acute coronary syndrome treated by percutaneous coronary intervention between 2017 and 2019, without known previous heart failure (baseline EF > 40% and no medical therapy with loop diuretics), with at least 12 months of follow-up.
It is possible to anticipate that the main findings of the present study will fill fundamental knowledge gaps regarding incidence of heart failure following coronary events.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
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
- •• Informed consent
- •Age ≥ 18 years
- •Previous acute coronary syndrome with percutaneous coronary revascularization
- •Baseline EF > 40%
- •At least 12 months of follow-up
排除标准
- •• Significant valvular heart disease (greater than mild stenosis or moderate regurgitation) before ACS
- •Type 1, 3, 4, 5 pulmonary hypertension (14) before ACS
- •Constrictive pericarditis before ACS
- •Primary or infiltrative cardiomyopathies
- •Heart transplantation
- •Medical therapy with loop diuretics for heart failure before ACS
- •Previous hospitalizations for heart failure or clinical sign of heart failure detected outpatient before ACS
结局指标
主要结局
Incidence of Heart Failure after Acute Coronary Artery Syndrome
时间窗: 12 month
To show the incidence of heart failure after acute coronary artery syndrome.
Identify prognostic markers
时间窗: 12 month
To clarify which features could be routinely identified as prognostic markers in this setting
次要结局
- The relation between the type of ACS and incidence of HF(12 month)
研究者
Fabrizio D'Ascenzo
Principal Investigator
A.O.U. Città della Salute e della Scienza
