Prognostic Value of the CALLY Index in Patients Undergoing Primary PCI

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorAssiut University

About this trial

This study aims to evaluate the relationship between the admission CALLY index and short-term adverse outcomes in STEMI patients undergoing PPCI. Specifically, it seeks to determine whether the CALLY index is associated with in-hospital and 30-day complications, including heart failure, arrhythmias, reinfarction, or death. Additionally, the study will assess the association between the CALLY index and procedural success, defined by post-intervention TIMI flow, as well as the complexity of coronary artery disease using the SYNTAX score.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Diagnosis of STEMI based on 4th universal definition of myocardial infarction

Undergoing Primary PCI within guideline-recommended timeframes

Provided informed consent to participate in the study

Disqualifiers

Active infection (as detected by baseline leukocytosis on admission), autoimmune or inflammatory disease affecting CRP, albumin, or lymphocyte counts

Chronic liver disease or advanced malignancy

Patients receiving immunosuppressive therapy

Refusal to participate

Trial population

The study population will consist of adult patients (≥18 years) presenting with STEMI to the emergency department and receiving PPCI as the main management

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

No trial groups listed

Trial outcomes

Primary outcomes

1

Short-term major adverse cardiac events (MACE)

Occurrence of MACE including heart failure, arrhythmias, reinfarction, cardiogenic shock, or death.

Time frame
Through hospital stay (up to 3 days) and at one-month follow-up post-intervention.

Secondary outcomes

1

Procedural success of PPCI

Achievement of final TIMI 3 flow grade post-intervention without in-hospital complications.

Time frame
Immediately post-procedure
2

Coronary artery disease complexity by SYNTAX score ( (Synergy Between PCI With Taxus and Cardiac Surgery score)

Assessment of the association between CALLY index at admission and coronary complexity determined by the SYNTAX (Synergy Between PCI With Taxus and Cardiac Surgery) score. The SYNTAX score ranges from 0 upwards, with scores categorized as 0-22 indicating low complexity and scores \>22 indicating more complex coronary artery disease. Higher scores represent increased disease complexity.

Time frame
At the time of coronary angiography

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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