CARESS in Acute Myocardial Infarction
Myocardial Infarction
About this trial
This is an interventional treatment trial for Myocardial Infarction focused on measuring AMI, stent, PTCA, abciximab, reteplase, combo therapy
Eligibility Criteria
Inclusion Criteria: - ECG with ST-elevation (≥ 1mm in at least 2 ECG limb leads or ≥ 2 mm in 2 contiguous precordial leads) AMI within <12 hours from symptoms onset fulfilling 1 or more of the following criteria of "high risk": Summation of ST-segment elevation or depression ≥ 15 mm in all 12 electrocardiographic leads or new onset complete left bundle branch block; Previous myocardial infarction (Q- and non Q-wave); Killip Class 2 or 3; LV ejection fraction at transthoracic ultrasound < 40%. Exclusion Criteria: Inability to provide informed consent; Age > 75 years CABG or PCI procedure in past history involving the infarct-related artery; Participation in another study with any investigational drug or device within the previous 30 days; Concomitant non-cardiac disease likely to limit long-term prognosis (e.g. cancer); Cardiogenic shock (hypotension with Systolic Blood Pressure (SBP) < 90 mmHg and tachycardia > 100 beats / min, not due to hypovolemia and requiring inotropic support or balloon counterpulsation); Need for concomitant major surgery (e.g. valve surgery or resection of aortic or left ventricular aneurysm, carotid endarterectomy, abdominal aortic aneurysm surgery, congenital heart disease etc); Severe hepatic disease; Patients with acute or chronic renal impairment (serum creatinine > 2.0 mg % or 200 mg/l or creatinine clearance < 30 ml/min); Transmural MI in different location within the previous week; Previous administration of thrombolytics within 7 days; Intolerance or contraindications to ASA or Clopidogrel; Known leucopenia, defined as a leukocyte count of < 3.500 White Blood Cells (WBC)/ml Known neutropenia, defined as < 1000 neutrophils / ml; Known thrombocytopenia (< 100.000 platelets / ml ); Documented active peptic ulcer or upper gastrointestinal bleeding within the previous 6 months; Previous hemorrhagic stroke; Previous ischemic cerebrovascular event within 3 months; Intracranial neoplasm; Recent major surgery at risk of bleeding; Episodes of uncontrolled hypertension (> 180/110 mmHg despite treatment) in past 2 years; Administration of oral anticoagulants within the previous 7 days unless INR ≤ 1.2; Severe recent trauma; Known or possible pregnancy; Absence of suitable vascular access (diffuse peripheral arterial disease); Basal ECG changes which make identification of ST-segment elevation impossible (i.e.: ventricular activation from artificial pacemaker, etc.).
Sites / Locations
- Cardiologie Hop. Duffaut
- SAMU - Hop. Duffaut
- Cardiologie - Hop. Louis Pradel
- Cardiologie - CH
- Urgences - CH
- Cardiologie - CH
- SAMU - Hop. Beaujon
- Service de Cardiologie - Hopital St. Joseph
- Cardiologie - CHU
- Samu - Chu
- SAMU 69 - Hop. E. Herriot
- Cardiologie - Hop. Bichat
- SAMU - Reanimation - CH
- Centre Cardiologique du Nord
- SMUR Delafontaine
- Ospedale San Donato
- Presidio Ospedaliero del Casentino
- Spedali Civili
- Az. Ospedaliera di Circolo
- P.O. di Camposampiero
- Ospedale Ramazzini
- Ospedale Bufalini
- P.O. Cittadella
- P.O. di Codogno
- Ospedale di Conegliano
- Ospedale S. Giuseppe da Copertino
- Ospedale S. Sebastiano
- P.O. di Cortona
- Ospedale Santa Croce e Carle
- Ospedale di Desio
- Ospedale Santa Maria del Prato
- Ospedale S. Sebastiano Martire
- Ospedale Santa Caterina Novella
- Ospedale La Memoria
- Ospedale San Giuliano
- Ospedale di Guastalla
- Az. Osp.Vito Fazzi
- Ospedale Civile di Legnano
- Az. Ospedaliera Desenzano sul Garda
- Fondazione Centro San Raffaele del Monte Tabor IRCCS
- Hesperia Hospital
- Nuovo Ospedale S. Agostino Estense - Baggiovara
- Ospedale Civile
- P.O. di Montebelluna
- Ospedale Franchini
- Azienda Universitaria Federico II
- Ospedale Santa Maria delle Grazie
- Arcispedale Santa Maria Nuova
- Ospedale Civile
- Ospedale degli Infermi
- Ospedale S. Eugenio
- A.O. San Camillo
- Istituto Clinico Humanitas
- P.O. U.O. Struttura Complessa
- Ospedale della Valtiberina
- Ospedale Provinciale di Saronno
- Nuovo Ospedale Civile di Sassuolo
- Ospedale SS.Annunziata
- Ospedale M. Scarlato
- Ospedale Magati
- Az. Ospedaliera Galmarini
- Ospedale Cà Foncello
- Specjalista Chorob Wewnetryznich
- Oddzial Chorob Wewnetrznych
- Szpital Powiatowy w Chrzanowie
- Oddzialu Kardiologicznego
- Oddzialu Chorob Wewnetrznych
- II Oddzial Kardiologiczno - Wewnetrezny Szpital Miejski w Jawozznie
- First Dept. Cardiology - Gornoslaskiego Centrum Medycznego
- Oddzial Wewneztrnj Okregowy Szpital Kolciowy
- Zaklad Hemodynamiki i Angiokardiografii Pracownia 1
- Zaklad Hemodynamiki i Angiokardiografii - Pracownia 2
- Oddzial Wewnetrzny - Szpital Mijski w Krynicy
- Oddzial Wewnetrzny - Szpital Powiatowy w Limanowej
- Oddzial Internistyczno- kardiologiczny
- Oddzial Kardiologiczny
- Szpital Powiatowy im. Sw. Maksimiliana w Oswiecimiu
- Oddzial Intensywnej Opieki Kardiologicznej i Kardiologii Olgonej
- Zaklad Opieki Zdrowotnej
- Oddzial Wewnetrzny Szpital w Szczyrzu
- Oddzial Kardiologii Inwazijnej - Szpital im. E. Szczeklika
- Oddzialu Kardiologii z OIOK
- Oddzial Kardiologii - Szpital Miejski w Tychach
- Szpital Powiatowy im. Jana Pawla II w Wadowicach
- Oddzial Kardiologii - Szpital Powiatowy w Zakopane