About this trial
Over the last two decades, considerable progress has been made in the management of Acute Myocardial Infarction (AMI), both in the acute phase and in monitoring beyond the hospital phase. Nevertheless, the evolution of care practices and their impact on the mid- and long-term prognosis of patients admitted to the intensive care unit for acute myocardial infarction remain relatively little studied exhaustively.
The aim of this study is to assess the profile of AMI patients, their management and follow-up in order to evaluate the relationship between these factors and outcomes.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Symptoms compatible with myocardial ischemia
Appearance of pathological Q waves
ST- T changes compatible with myocardial ischemia (ST segment elevation or depression, T-wave inversion)
Written consent.
Disqualifiers
Iatrogenic MI defined as MI occurring within 48h of a therapeutic procedure
AMI diagnosis invalidated in favor of another diagnosis
Trial population
Consecutive eligible (cf eligibility criteria) patients admitted in one of the Intensive Coronary Units participating to the study.
Trial design
Cohort
Prospective
Treatments tested in this trial
Not listed
Trial groups
Trial outcomes
Primary outcomes
In-hospital mortality
In-hospital mortality
In-hospital outcomes
To measure the in-hospital major cardiovascular events : recurrence of AMI, myocardial revascularization, stroke
Lipopretein 1 evolution
To evaluate plasma concentrations of Lpa and its dynamic pattern during hospital index and 3-9 months following hospitalization.
Secondary outcomes
Cardiovascular outcomes during follow-up
All cause death and Cardiovascular events including non fatal Myocardial Infarction, non fatal stroke, revascularization, hospitalization for other cardiovascular causes including Bleeding leading to hospitalization
Non cardiovascular outcomes during follow-up
All cause death and Non-cardiovascular events leading to to hospitalizations
Relationship between patients profile and mortality and cardiovascular morbidity outcomes according to management
All cause death and cardiovascular events including non fatal MI, non fatal stroke, revascularization, hospitalization for other cardiovascular causes including Bleeding leading to hospitalization according to patient's management
Relationship between patients profile and mortality and non-cardiovascular morbidity outcomes according to management
All cause death and Non-cardiovascular events leading to to hospitalizations according to patient's management
Sponsors and contacts
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Assistance Publique - Hôpitaux de Paris
Lead sponsor
Novartis
Collaborator