Novel Biomarkers in Patients With Acute Myocardial Infarction

NCT ID: NCT05791916

Last Updated: 2024-02-28

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

RECRUITING

Total Enrollment

500 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-03-10

Study Completion Date

2025-02-28

Brief Summary

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This study seeks to investigate the clinical value of novel biomarkers and echocardiographic indices, including myocardial work parameters, in patients with first acute myocardial infarction. The relationship between novel echocardiographic indices with clinical data, biochemical data in different myocardial infarction types will be attempted. Prognostic implications of those indices will be explored.

Detailed Description

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This study is a prospective registry designed to evaluate and explore novel associations and prognostic tools in patients with first Acute Myocardial Infarction (AMI) with or without ST elevation, as defined by the Fourth Universal Definition of Myocardial Infarction. All eligible adult patients admitted to the Department of Cardiology at AHEPA University General Hospital of Thessaloniki with AMI will be invited to participate.

Following revascularization, a complete and comprehensive medical interview will be conducted for each patient, during which demographic characteristics, baseline medical history, medical therapy upon admission and discharge, primary aetiology, and clinical presentation of hospitalization will be recorded. Laboratory data will be collected on admission and during hospitalization, including complete blood count, biochemical control, coagulation mechanism control, hormonal control, lipid profile including Lp(a), HbA1c, N-terminal pro-B-type natriuretic peptide plasma, higher-peak value of HsTnT, IL-6, and suPAR levels on admission.

A comprehensive transthoracic echocardiographic assessment (TTE) will be performed within 24-48 hours from revascularization to evaluate the cardiac function of patients. The TTE will include 2-dimensional-speckle-tracking analysis of all cardiac chambers and non-invasive calculation of myocardial work of the left and right ventricles. The clinical value and prognostic implications of these echocardiographic indices will also be investigated during follow-up.

The primary objective is to identify novel prognostic tools by examining the association between echocardiographic indices, clinical, and biochemical data. The study aims to contribute to a better understanding of the pathophysiology of this condition and the development of effective management strategies. By comprehensively assessing the clinical, biochemical, and echocardiographic features of patients with AMI, this study will help to establish a foundation for developing targeted and effective treatments for AMI patients.

Conditions

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Cardiovascular Diseases Myocardial Infarction Acute Coronary Syndrome Biochemical Dysfunction

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Eligibility Criteria

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Inclusion Criteria

1. Patients older than 18 years
2. Patients acutely admitted at the Department of Cardiology of AHEPA University General Hospital, Thessaloniki, Greece with Acute Myocardial Infarction, as those are defined by the Fourth Universal Definition of Myocardial Infarction.
3. Patients without known history of coronary artery disease

Exclusion Criteria

1. Patients \< 18 years old at time of coronary angiography
2. Patients with a previous history of coronary artery disease and/or prior revascularization
3. Inability or refusal to provide informed consent
4. Subject is pregnant and/or breastfeeding or intends to become pregnant during the study
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Aristotle University Of Thessaloniki

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Antonios Ziakas, MD, PhD

Role: STUDY_DIRECTOR

School of Medicine, Aristotle University of Thessaloniki

Christos Savopoulos, MD, PhD

Role: STUDY_CHAIR

School of Medicine, Aristotle University of Thessaloniki

Vasileios Kamperidis, MD, MSc, PhD

Role: PRINCIPAL_INVESTIGATOR

School of Medicine, Aristotle University of Thessaloniki

Locations

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AHEPA University Hospital, Thessaloniki, Greece

Thessaloniki, Central Macedonia, Greece

Site Status RECRUITING

AHEPA University Hospital, Thessaloniki, Greece

Thessaloniki, Central Macedonia, Greece

Site Status RECRUITING

Countries

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Greece

Central Contacts

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Christos Savopoulos, MD, PhD

Role: CONTACT

6944569749 ext. +30

Facility Contacts

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Stylianos Daios, MD, MSc

Role: primary

6947529606 ext. +30

Vasileios Anastasiou, MD, MSc

Role: backup

6978223907 ext. +30

Stylianos Daios, MD, MSc

Role: primary

+306947529606 ext. +30ยง

Vasileios Anastasiou, MD, MSc

Role: backup

6978223907 ext. +30

References

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Daios S, Anastasiou V, Moysidis DV, Didagelos M, Papazoglou AS, Stalikas N, Zegkos T, Karagiannidis E, Skoura L, Kaiafa G, Makedou K, Ziakas A, Savopoulos C, Kamperidis V. Prognostic Implications of Clinical, Laboratory and Echocardiographic Biomarkers in Patients with Acute Myocardial Infarction-Rationale and Design of the ''CLEAR-AMI Study''. J Clin Med. 2023 Sep 2;12(17):5726. doi: 10.3390/jcm12175726.

Reference Type DERIVED
PMID: 37685793 (View on PubMed)

Other Identifiers

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3456/20

Identifier Type: -

Identifier Source: org_study_id

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