About this trial
Because treatment decisions are usually based on a single measurement of the lipid panel at the time of an admission for an MI, the overarching objective of this project is to evaluate whether the measurement of LDL, non-HDL, and apoB values are reliable through all the duration of the hospitalization.
It will be a single-center, prospective, observational study will be conducted, including consecutive patients hospitalized for myocardial infarction at the Montreal Heart Institute.
Every patient at the Cardiac Care Unit will undergo non-fasting lipid panel testing at day 0 of their admission for Myocardial Infarction during the study period. Patients who consent to participate will have a 2nd non-fasting lipid panel drawn at day 2 of their admission.
Thereafter, the levels of the different lipid values from the panel will be compared between day 0, day 2, and 4-6 weeks after discharge.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adult patients ≥18 years old
Hospitalized at the Cardiac Care Unit for Myocardial Infarction (either NSTEMI or STEMI)
Lipid panel performed on day 0 of admission
Willing to provide informed consent
Disqualifiers
None
Trial population
Adult patients hospitalized at the Cardiac Care Unit at the Montreal Heart Institute.
Trial design
Case-only
Prospective
Treatments tested in this trial
Lipid panel
Diagnostic testLipid panel measuring levels of LDL, non-HDL and apoB
Treatment groups
Trial outcomes
Primary outcomes
Variation in LDL
Evaluation of the variation in LDL levels during a hospital admission for myocardial infarction
Secondary outcomes
Variation in non-HDL and apoB
Evaluation of the variation in non-HDL and apoB levels during a hospital admission for myocardial infarction
Evaluation of intensification threshold
Among the subgroup of patients who are already treated with lipid-lowering therapy at the time of admission, the proportion of patients with a LDL, non-HDL or apoB value above the intensification threshold
Other outcomes
Repeat lipid panel after discharge
Evaluation of the proportion of patients discharged after myocardial infarction who undergo a repeat lipid panel after discharge
Evaluation of intensification threshold after discharge
Evaluation of the proportion of patients discharged after MI with a LDL, non-HDL or apoB value above the intensification threshold after discharge
Sponsors and contacts
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Montreal Heart Institute
Lead sponsor
Novartis Pharmaceuticals
Collaborator