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NCT04984915

The Usefulness of CaIMR in Patients With STEMI

Status unknown Last updated 9 February 2022
What this trial tests

trial in CaIMR in 400 participants. Status unknown.

Timeline
15 May 2022
Primary endpoint
15 August 2023
1 December 2023

Quick facts

Lead sponsorZhongnan Hospital
StatusStatus unknown
Study typeOBSERVATIONAL
Enrollment400
Start date15 May 2022
Primary completion15 August 2023
Estimated completion1 December 2023
Sites1 location across China

Conditions studied

Sponsor

Zhongnan Hospital

Who can join

Adults 18 to 80, any sex, with CaIMR or Prognosis. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

The coronary artery system is composed of three different types of blood vessels, namely epicardial arteries, arterioles and capillaries. Compared with epicardial arteries, arterioles and capillaries are lower than the resolution of current angiography systems, so angiography cannot be used for visualization. Existing studies have shown that coronary microcirculation plays an extremely important role in maintaining full myocardial perfusion. Coronary microvascular disorders can lead to myocardial hypoperfusion and ischemia, and are related to the poor prognosis of patients with coronary heart disease. At present, there is no technology that can directly detect the state of the coronary microcirculation in the human body, but the coronary microcirculation function can be indirectly assessed through two invasive and non-invasive methods. Among them, the index of microcirculation resistance (IMR) is widely used to evaluate coronary microcirculation function \[3\]. However, in the case of epicardial stenosis, accurate determination of IMR requires knowledge of coronary artery contraction pressure (Pw). However, measuring IMR is an invasive examination technique, and measuring IMR requires high technical requirements for the operator. Therefore, the CaIMR value obtained by AI technology can well overcome this limitation, and the existing data show that the CaIMR value has a good correlation with the IMR value. However, CaIMR has a clinical prognosis for patients with acute ST-segment elevation myocardial infarction. The predictive value of CaIMR has not yet been explored. This project aims to evaluate the application value of CaIMR in predicting the occurrence of adverse cardiovascular events in patients with acute ST-segment elevation myocardial infarction after percutaneous coronary intervention.

Publications & conference data

No peer-reviewed publications indexed yet for this trial.

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