"Short-term Outcome in STEMI Patients Undergoing Primary PCI: A Comparative Study Between Rural and Urban Communities at Assiut University."
NCT ID: NCT07136831
Last Updated: 2025-08-22
Study Results
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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NOT_YET_RECRUITING
162 participants
OBSERVATIONAL
2025-08-15
2026-12-30
Brief Summary
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Detailed Description
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According to the latest census definitions, a rural area is characterized by:A population of fewer than 5,000,A population density of less than 400 persons per square kilometer,And more than 25% of the male working population engaged in agriculture.
Rural patients often experience delayed diagnosis, limited access to PCI-capable centers, and prolonged ischemic times. These factors contribute to poorer clinical outcomes, including higher rates of reinfarction, heart failure, and mortality. In contrast, urban residents typically have faster access to specialized cardiac care and more efficient treatment pathways.
In Upper Egypt, this urban-rural gap is particularly pronounced, with rural patients facing substantial logistical and systemic challenges in receiving timely PCI. Although efforts have been made to expand PCI access nationwide, there remains a lack of localized data comparing short-term outcomes-particularly major adverse cardiovascular events (MACE)-between rural and urban STEMI patients.
Conditions
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Study Design
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COHORT
PROSPECTIVE
Interventions
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Primary Percutaneous Coronary Intervention (PPCI)
A catheter-based invasive procedure used to open blocked coronary arteries in patients presenting with ST-elevation myocardial infarction (STEMI).
Eligibility Criteria
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Inclusion Criteria
3\. Underwent primary percutaneous coronary intervention (PCI) within the study period.
4\. Known and verified residential address classified as rural or urban based on official definitions (e.g., UK or WHO classification).
5\. Informed consent obtained
Exclusion Criteria
2. Patients who received fibrinolytic therapy instead of PCI.
3. Transfer from another facility after more than 12 hours of symptom onset.
4. Patients with previous revascularization (e.g., CABG or PCI within the last 6 months).
5. Incomplete clinical data or unknown residential location.
\-
18 Years
90 Years
ALL
No
Sponsors
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Assiut University
OTHER
Responsible Party
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Fatma Ali Khallaf
Principal Investigator
Central Contacts
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Related Links
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Related Info
Other Identifiers
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STEMI-PPCI-RURALURBAN-ASU25
Identifier Type: -
Identifier Source: org_study_id
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