About this trial
TWIN-SCD STEMI is a multicentric prospective, non-randomized pilot study designed to establish a multiparametric model for predicting life-threatening ventricular arrhythmias in patients experiencing their first myocardial infarction. The primary objective of the study is to develop an algorithm with superior predictive performance (sensitivity and specificity) compared to the currently used criterion for the implantation of a cardiac defibrillator, which is a left ventricular ejection fraction (LVEF) of less than 35%.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
History of ST-segment elevation myocardial infarction (STEMI) in the last 6 months
Signed informed consent
Affiliated to or beneficiary of a health insurance
Disqualifiers
Renal failure (Creatinine clearance <30 mL/min), or a systemic illness likely to limit survival to <1 year
Women who are pregnant, lactating, or who are planning to become pregnant within 2 years following her inclusion
Unable to understand the nature, risks, significance and implications of the clinical investigation or unwilling to provide written informed consent
Participant under legal protection
Trial design
Single group
Treatments tested in this trial
Programmed ventricular stimulation
Procedure/SurgeryInvasive cardiac electrophysiology (EP) study
Cardiac CT scan
Procedure/SurgeryCardiac CT scan with contrast enhancement
Treatment groups
Trial outcomes
Primary outcomes
Occurrence of sudden cardiac death or sustained ventricular arrhythmia
Event defined by occurrence of sudden cardiac death or appriopriate ICD shock delivery or sustained ventricular arrhythmia (lasting more than 30 seconds)
Secondary outcomes
Occurrence of syncope at M60
Occurrence of syncope at M60
Occurrence of non-sustained ventricular arrhythmias at M60
Occurrence of non-sustained ventricular arrhythmias at M60
Sponsors and contacts
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