Patients with acute ST-segment elevation myocardial infarction and thrombolysis indications, will be given the recombinant human prourokinase for thrombolysis treatment, and in accordance with the guidelines, will be treated with coronary angiography examination 3 to 24 hours after thrombolysis. The study will explore the best time for interventional therapy combined with thrombolysis.
The noninferiority multicenter, prospective, randomized, controlled study of urokinase of restructuring the original design evaluation (rhPro - UK) at different times after thrombolysis combined with percutaneous coronary intervention(PCI)therapy of acute ST segment elevation myocardial infarction.Patients with acute ST segment elevation myocardial infarction and thrombolysis indications, will be given the recombinant human prourokinase for thrombolysis treatment, and in accordance with the guidelines, will be treated with coronary angiography examination 3 to 24 hours after thrombolysis. The study will explore the best time for interventional therapy combined with thrombolysis.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
120
STEMI patients first are given thrombolysis and then transfer to PCI centers to be treated by PCI 3-6 hours after thrombolysis.
STEMI patients first are given thrombolysis and then transfer to PCI centers to be treated by PCI 6-24 hours after thrombolysis.
The second hospital of Jilin university
Changchun, Jilin, China
RECRUITINGPost-PCI(percutaneous coronary intervention) myocardial perfusion (TIMI flow grade)
The investigators will check myocardial perfusion (TIMI flow grade) after PCI (percutaneous coronary intervention)immediately.
Time frame: intraoperative
The incidence of no reflow
The investigators will check the incidence of no reflow after PCI(percutaneous coronary intervention) immediately.
Time frame: intraoperative
Major Adverse Cardiovascular Events (MACE)
Death and recurrence of myocardial infarction and target vessels revascularization
Time frame: 1 month, 3 month,6 month,12 month
Post-PCI heart function
The value of ejection fraction will be examined by cardiac ultrasound for heart function.
Time frame: 1 month, 3 month,6 month,12 month
The incidence of serious bleeding events
The incidence of serious bleeding events including all cause.
Time frame: 1 year
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