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N/A N=300 Randomized Treatment

Electrophysiological Effects of Late PCI After MI

Cardiovascular Diseases · Heart Diseases · Myocardial Infarction · Coronary Disease · Arrhythmia

Enrolled (actual)
300
Serious AEs
0.0%
Results posted
Aug 2018
Primary outcome: Primary: Short-termed Fractal Scaling Exponent (Alpha 1) — 0.01; -0.03 unit-less — p=0.34

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
PCI (Procedure); Optimal Medical Therapy (Drug)
Age
Pediatric, Adult, Older Adult
Sex
All
Sponsor
University of Maryland, Baltimore
Primary completion
Dec 2006

Outcome Measures

OutcomeResultp-value
PRIMARY
Short-termed Fractal Scaling Exponent (Alpha 1)
0.01; -0.03 0.34
SECONDARY
T-wave Variability
-6.3; -3.4 0.45
SECONDARY
Filtered QRS Duration
1.5; 3.7 0.23

Summary

The purpose of this study is to determine if opening blocked arteries with heart balloons and stents prevents heart rhythm problems in individuals 3 to 28 days after a heart attack.

Eligibility Criteria

Inclusion Criteria

  • Has experienced a heart attack 3 to 28 days prior to study entry
  • Persistently occluded IRA defined as either: 1) Thrombolysis in Myocardial Infarction (TIMI) 0, with no flow beyond the site of occlusion; or 2) TIMI 1, with penetration of dye beyond the site of occlusion without dye reaching the distal vessel
  • LVEF less than 50% or proximal occlusion in a large vessel
  • Normal sinus rhythm
  • QRS duration less than 120 ms
  • Able to return for follow-up assessment of arrhythmia markers one month and one year after study entry

Exclusion Criteria

  • Has a clinical indication for revascularization (post-heart attack angina at rest; significant inducible ischemia; or significant left main or triple vessel disease requiring PTCA or CABG)
  • Current serious illness or condition that limits 3-year survival
  • Severe valvular disease
  • Chronic total occlusion
  • New York Heart Association Class III-IV congestive heart failure
  • Prior left ventricular aneurysm in the recent heart attack location
  • Is a poor candidate for PTCA/stent on the basis of angiographic or clinical criteria
  • Cannot medically survive anticoagulation during PTCA/stent or antiplatelet therapy after stent
  • Pregnant
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00119847). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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