About this trial
The purpose of the research is to determine whether a class of medication called SGLT2 inhibitor will improve the heart's function and reduce its enlargement after a heart attack. Participation in this study will involve taking this class of medication (or a placebo) once daily for six months, one cardiac magnetic resonance imaging (MRI) test during your initial hospitalization, follow-up phone calls at 1 and 3 months, and one cardiac MRI and clinic visit at six months. This is a single center study.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients with their first STEMI (>18 years) who underwent successful primary PCI and able to give informed consent
At least mild LV dysfunction (LVEF < 50%) on echocardiogram, cMRI or Left Ventriculargram following PCI
Infarct size that is > 10% of LV mass
The presence of MVO that is > 10% of infarct size
Disqualifiers
Contraindication to cardiac MRI
Life expectancy < 1 year
Previous CABG or Valve Surgery
Previous STEMI
Trial design
Parallel
Treatments tested in this trial
SGLT-2 inhibitors
DrugSGLT2 inhibitor once daily for six months
Placebo
DrugPlacebo once daily for six months
Treatment groups
Trial outcomes
Primary outcomes
Change in LVESVI
Change in LVESVI at 6 months as measured by MRI.
Change in LVEDVI
Change in LVEDVI at 6 months as measured by MRI.
Secondary outcomes
Change in LV mass
Change in LV mass at 6 months as measured by cMRI
Change in LVEF
Change in LVEF at 6 months as measured by cMRI
MACE rates - including hospitalization for CHF, repeat revascularization, MI and death and ICD implantation
Sponsors and contacts
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