The purpose of this study is to investigate the effects of postconditioning on myocardial reperfusion in patients with ST-segment elevation myocardial infarction.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
700
Coronary angiogram is performed to allow identification of the culprit coronary artery and to check no reperfusion before PCI (TIMI grade \<2). Restoration of coronary blood flow can be achieved by thrombus aspiration, balloon angioplasty, direct stenting or together.In the postconditioning group, immediately after restoration (TIMI grade ≥2) of coronary flow (without regard to method of achieving restoration), angioplasty balloon will be positioned at the culprit lesion or stented segment and inflated 4 times for 1 minute with low-pressure (4 to 6 atm) inflations, each separated by 1 minute of reflow. When restoration of coronary flow is achieved by thrombus aspiration or balloon angioplasty and residual stenosis is remained ≥30%, stent will be deployed.
Samsung Medical Center
Seoul, South Korea
The dichotomous rate of complete ST-segment resolution (STR)
Time frame: at 30 minutes after final contrast injection
Myocardial blush grade
Time frame: within 10 minutes after PCI
Thrombolysis in Myocardial Infarction (TIMI) flow grade
Time frame: within 10 minutes after PCI
Angiographic no-reflow
Time frame: during PCI
All death
Time frame: at 30 days and 1 year
Stent thrombosis
Time frame: at 30 days and 1 year
Cardiac death
Time frame: at 30 days and 1 year
Myocardial infarction
Time frame: at 30 days and 1 year
Severe heart failure
Severe heart failure was defined as heart failure with documented arterial partial pressure of oxygen less than 60 mmHg or with pulmonary edema documented radiographically or requiring intubation, 100% oxygen, or insertion of a mechanical support device.
Time frame: at 30 days and 1 year
Target vessel revascularization (TVR)
Time frame: at 30 days and 1 year
Composite of death, MI, severe heart failure, or stent thrombosis
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Time frame: at 30 days and 1 year