Prognostic Value of Lactate Levels in Patients With STEMI Undergoing Primary PCI

NCT ID: NCT05503329

Last Updated: 2022-08-18

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

COMPLETED

Total Enrollment

300 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-01-25

Study Completion Date

2022-06-30

Brief Summary

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To assess the prognostic value of systemic arterial lactate levels in patients with ST segment elevation myocardial infarction undergoing primary PCI and correlate with the results of primary PCI and 30 days MACE follow up.

Detailed Description

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* Study Population: STEMI patients treated with primary PCI.
* Study period: over 6 months.
* Sample Size: 300 patients.

All patients received the standard care for acute STEMI patients which is the primary percutaneous intervention in addition to medications.

Hyperlactemia is defined as elevated lactic acid level in the blood. The normal blood lactate level is (0.5-1 mmol/L).

All subjects were subjected to

1. Careful history taking
2. Full cardiac examination
3. Investigations include:

1. 12 lead surface ECG.
2. Lactate level and full labs
3. Pre-discharge echocardiography
4. Peri-procedural details of primary PCI

the investigators assessed the relation between hyperlactemia and coronary flow, peak cardiac enzymes, hemodynamic parameters and MACE in 30 days follow up

Conditions

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STEMI

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Interventions

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arterial lactate level

an arterial lactate level measured from arterial sample from STEMI patients

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Patient with ST-segment elevation myocardial infarction for the first time.
* Patients undergoing primary PCI.
* Adult patients ≥ 18 years old.

Exclusion Criteria

* Hemodynamically unstable patients.
* Patients with renal impairment (creatinine clearance \< 30 ml/min).
* Patients who developed flow limiting coronary dissection or mechanical complication during the procedure.
* Patients presenting \> 24 hours after symptoms onset.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ahmed Maher Teaching Hospital

OTHER_GOV

Sponsor Role lead

Responsible Party

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Ahmed Hamdy Abdelhasseeb

clinical doctor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Ahmed Maher teaching hospiral

Cairo, Elsayda Zainab Square, Egypt

Site Status

Countries

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Egypt

References

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Abdel-Salam A, El-Sayed A, Abdel-Haseeb A, Ibrahim M. Prognostic value of arterial lactate index in ST-elevation myocardial infarction treated with primary percutaneous coronary intervention: a prospective cohort study. Future Cardiol. 2023 Dec;19(16):767-777. doi: 10.2217/fca-2023-0065. Epub 2023 Dec 21.

Reference Type DERIVED
PMID: 38127545 (View on PubMed)

Other Identifiers

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FWA000017585

Identifier Type: -

Identifier Source: org_study_id

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