Metabolomics Characterization of Biomarkers of Different Types of Myocardial Infarction in Different Time.

NCT ID: NCT04817748

Last Updated: 2021-03-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

40 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-11-17

Study Completion Date

2021-05-01

Brief Summary

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To find new biomarkers through Metabonomics Study of different types of myocardial infarction in Different Time.

Detailed Description

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In recent years, with the deepening understanding of the mechanism of myocardial infarction, in addition to the early understanding of plaque rupture, plaque erosion and other mechanisms, studies have found that inflammation, immunity, metabolism and other factors also play an increasingly important role in the occurrence and development of myocardial infarction. The LoDoCo2 study published at the 2020 ESC annual meeting and the COLCOT study previously published confirmed for the first time the therapeutic effect of anti-inflammatory drug colchicine in chronic coronary disease and acute myocardial infarction. At the same time, the fourth international definition of myocardial infarction also defines three different types of acute ST segment elevation myocardial infarction (STEMI), acute non ST segment elevation myocardial infarction (NSTEMI) and non infarct acute myocardial infarction (MINOCA). However, there are no clear research results on the mechanism, especially the mechanism of MINOCA. Therefore, the study of acute myocardial infarction in three groups is of great significance.

Conditions

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Myocardial Infarction

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Acute ST segment elevation myocardial infarction(STEMI)

the patients' coronary and venous blood were drawn for metabolomics study

No interventions assigned to this group

Acute non ST segment elevation myocardial infarction(NSTEMI)

the patients' coronary and venous blood were drawn for metabolomics study

No interventions assigned to this group

Acute myocardial infarction with no obstructive coronary atherosclerosis(MINOCA)

the patients' coronary and venous blood were drawn for metabolomics study

No interventions assigned to this group

Patients with normal coronary artery(NCA)

the patients' coronary and venous blood were drawn for metabolomics study

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

1.The patient clearly had acute myocardial infarction. 2.The patient's serum cardiac markers (mainly troponin) were elevated (at least above the upper limit of 99% reference value) and accompanied by one of the following clinical indicators:

1. Ischemic symptoms
2. New ischemic ECG changes, new ST-T changes or left bundle branch block(LBBB).
3. Pathological Q wave formation in ECG
4. Imaging evidence showed new loss of myocardial activity or new regional wall motion abnormalities.
5. The thrombus was confirmed by coronary angiography. 3.The patient had chest pain symptoms, but coronary angiography showed normal coronary artery (such as intercostal neuralgia, cervical spondylosis, chest pain of unknown origin, etc.)

Exclusion Criteria

1. Refusal to sign informed consent.
2. Surgical treatment was performed in the last three months.
3. Patients with a history of the following diseases or consider the diagnosis of the following diseases:Stress cardiomyopathy, myocarditis, pericarditis, pneumonia, pulmonary embolism, aortic dissection.
4. Severe heart failure, grade IV cardiac function.
5. Liver and kidney dysfunction.
6. blood-borne diseases, including HIV / AIDS, hepatitis B, hepatitis C, etc.
7. Patients with a history of malignancies, autoimmune diseases, severe infectious diseases and trauma.
8. Previous history of myocardial infarction and stroke.
Minimum Eligible Age

20 Years

Maximum Eligible Age

76 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Shanghai 10th People's Hospital

OTHER

Sponsor Role lead

Responsible Party

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Ya-Wei Xu

cardiology department of shanghai 10th people's hospital

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Yi Zhang, MD

Role: PRINCIPAL_INVESTIGATOR

Department of Cardiology, Shanghai Tenth People's Hospital

Locations

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Yi Zhang

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Yi Zhang, MD

Role: CONTACT

18917686332

Zheng Liu, MD

Role: CONTACT

18521526364

Facility Contacts

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Yi Zhang

Role: primary

18917686332

Zheng Liu

Role: backup

18521526364

Other Identifiers

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MCBDTMIDT

Identifier Type: -

Identifier Source: org_study_id

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