Actively Recruiting
Cardiac MRI Prior to Invasive Coronary Angiography in Patients With Suspected Non-ST-Elevation Myocardial Infarction
Led by Region Stockholm · Updated on 2024-08-22
150
Participants Needed
1
Research Sites
71 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Patients with a suspected myocardial infarction are subdivided into ST-elevation and non-ST-elevation myocardial infarctions (STEMI and NSTEMI, respectively) using an ECG. While patients with STEMI are urgently referred to a cath lab, patients with NSTEMI usually undergo a planned invasive coronary angiography (ICA) anywhere from 24-72 hours after arriving to the hospital. When an invasive coronary angiography can not explain the cause of a myocardial infarction, an MRI of the heart (a CMR) is often done as a follow-up investigation. A growing body of evidence suggests that performing a CMR before the planned ICA can provide an accurate diagnosis and defer the need for an ICA in many of these patients with NSTEMI.
CONDITIONS
Official Title
Cardiac MRI Prior to Invasive Coronary Angiography in Patients With Suspected Non-ST-Elevation Myocardial Infarction
Who Can Participate
Eligibility Criteria
You may qualify if you...
- 18 years of age or older with suspected non-ST-elevation myocardial infarction (NSTEMI) showing signs of acute coronary syndrome and no ST-elevation on initial ECG
- Planned invasive coronary angiography (ICA) where cardiac MRI can be done first without delaying the ICA
- Able to provide written informed consent
You will not qualify if you...
- Contraindications to cardiac MRI with gadolinium contrast such as claustrophobia, eGFR below 30 ml/min/1.73m2, contrast allergy, or MRI-incompatible implants
- Arrhythmias that prevent cardiac MRI examination
- Previous coronary artery bypass graft surgery (CABG)
- Hemodynamic instability
- Myocardial infarction within 6 months before inclusion
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Trial Site Locations
Total: 1 location
1
Karolinska University Hospital
Stockholm, Sweden, 171 64
Actively Recruiting
Research Team
D
Daniel F Andersson, M.D.
CONTACT
How is the study designed?
Study Type
OBSERVATIONAL
Masking
N/A
Allocation
N/A
Model
N/A
Primary Purpose
N/A
Number of Arms
1
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