Study of Blood Serum Renalase and Microcirculation Blockage in Adults with Acute Myocardial Infarction After Emergency Heart Procedure
Led by The Third Xiangya Hospital of Central South University · Updated on 2024-11-01
200
Participants Needed
1
Research Sites
N/A
Total Duration
AI-Summary
What this Trial Is About
Researchers are exploring the connection between blood serum renalase levels and microcirculation obstruction in patients who have experienced an acute myocardial infarction AMI and undergone primary percutaneous coronary intervention PCI. The goal is to identify possible risk factors for microcirculation obstruction in these patients. This observational study is sponsored by The Third Xiangya Hospital of Central South University and focuses on acute heart attack patients treated with emergency PCI.
Participants must have had a STEMI heart attack within 12 hours or between 12 to 48 hours if persistent ischemic symptoms, hemodynamic instability, or life-threatening ventricular arrhythmias are present. High-risk NSTEMI patients undergoing emergency PCI may also be included. The study involves observing patients after their PCI treatment without introducing new interventions.
During the study, researchers will monitor participants using contrast-enhanced magnetic resonance imaging MRI conducted 3 to 7 days after PCI to assess microvascular obstruction. The study will track the number of patients showing this condition. Participants will provide consent and be followed to collect data relevant to renalase levels and heart microcirculation. The total study period extends until October 2025, starting from August 2024.
CONDITIONS
Brief Title
Correlation of Blood Serum Renalase and Microcirculation Obstruction in Patients with Acute Myocardial Infarction After Primary Percutaneous Coronary Intervention
Research Team
W
Weihong Jiang
Y
Ye Chen
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The Third Xiangya Hospital of Central South University
Lead Sponsor
Who Can Participate
Age: 18Years +
All Genders
Eligibility Criteria
You may qualify if you...
Age 18 years or older
STEMI symptom onset less than 12 hours
STEMI symptom onset 12-48 hours with persistent ischemic symptoms, hemodynamic instability, or life-threatening ventricular arrhythmias
High-risk NSTEMI
Emergency PCI
Voluntary informed consent
You will not qualify if you...
Non-obstructive acute myocardial infarction
Severe chronic kidney disease (estimated glomerular filtration rate less than 20 mL/min per 1.73 m²)
Life expectancy less than 1 year
Pregnant or planning to become pregnant
Emergency PCI failure
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Diagnostic Evaluation
Duration - 3 to 7 days after primary percutaneous coronary intervention
Participants undergo contrast-enhanced magnetic resonance imaging to assess microvascular obstruction.
1 visit (in-person)
How is the study designed?
Study Type
OBSERVATIONAL
Masking
N/A
Allocation
N/A
Model
N/A
Primary Purpose
N/A
Number of Arms
0
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Published Research Related To This Trial
Association between periprocedural change in serum renalase and microvascular obstruction in patients with STEMI after primary percutaneous coronary intervention: protocol for the ReMVOS prospective cohort study.
Periprocedural 24-Hour Change in Renalase Adds Incremental Value for Early Risk Stratification of Cardiovascular Magnetic Resonance-Defined Microvascular Obstruction in Patients With ST-Segment-Elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention: A Prospective Cohort Study.