Norwegian Study on District Treatment of ST-Elevation Myocardial Infarction

Ullevaal University Hospital266 enrolled

Overview

In the district areas of Norway patients with acute myocardial infarction with ST-elevation, are treated with thrombolysis. An increasing part of them receives thrombolysis before arrival to the local hospital.Usually these patients have been sent to an invasive center if thrombolysis fails or the patient gets ischemic symptoms during the stay. This study will compare this strategy against immediate transportation to an invasive center after the patient has received thrombolysis.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

266

Conditions

Acute Myocardial Infarction

Interventions

PCIPROCEDURE

Immediate transport to invasive center after thrombolysis

Eligibility

Sex: ALLMin age: 18 YearsMax age: 75 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Duration of painless than 6 hours. * ST-segment elevation of at least 0.1 mV in two or more extremity leads or at least 0.2 mV in two or more precordial leads. * The patient is getting thrombolysis. * Time to reach an invasive center is more than 1 hour. * Age 18-75 years. Exclusion Criteria: * Known serious renal failure (creatinin \> 250 mmol/l) * Pregnancy * Cardiogenic chock * Life threatening arrythmias * Other serious diseases with life expectancy less than 1 year. * Inability to perform an informed consent

Locations (1)

Ulleval University Hospital

Oslo, Norway

Outcomes

Primary Outcomes

Death , myocardial infarction ,stroke or ischemia during 12 months.

Time frame: 12 months

Costs during 12 months.

Time frame: 12 months

Secondary Outcomes

Size of infarction.

Time frame: 3 months

Complications

Time frame: 1 month

Data from ClinicalTrials.gov

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