Percutaneous Revascularization in Infarction With Late Presentation and Absence of Viability: Effects on Left Ventricular Remodeling and Contractility

• Status: Recruiting
• Trial end date: 2024-07-01
• Target enrollment: 0
• Participant gender: All

Summary

The purpose of this study is to evaluate whether late recanalization in patients with ST elevation myocardial infarction (STEMI) without Viability on Cardiovascular Magnetic Resonance Image (MRI) can reduce the reverse remodeling through the reduction of the End Systolic Volume (ESV) at 6 months.

• Phase: N/A
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Instituto Dante Pazzanese de Cardiologia

Criteria

Inclusion Criteria

1. STEMI not reperfused between 24 hours and 28 days

2. MI-related artery with > or = 50%

3. Segmental dysfunction in the artery related to infarction.

4. Technical feasibility for PCI recanalization

5. Absence of Myocardial Viability

3.3 Exclusion criteria

1. Age > 80 years

2. < 1 year life expectancy

3. Post MI Angina

4. Clinical Instability

5. Electrical Instability

6. Previous Infarction with segment disfunction

7. NYHA class III or IV heart failure.

8. Previous diagnosis of congestive heart failure or cardiomyopathy

9. Severe heart valve disease

10. Absence of segmental dysfunction in the artery related to infarction

11. Coronary angiography without obstructive lesions

12. Indication of myocardial revascularization surgery

13. Opted for clinical treatment for technical reasons

14. Serum creatinine concentration greater than 2.5 mg/dl

15. Pacemaker or Implantable Cardiodefibrillator (ICD)

16. Brain Clip Carriers

17. Patients with Cochlear Implants

18. Refusal to sign the Informed Consent Form (ICF).

19. Inability to maintain outpatient follow-up for 6 months.