Prospective trials performed on type 2 diabetes patients without established cardiovascular disease has shown that SGLT2 inhibitors reduce cardiovascular risk. No studies have yet examined the occurrence of cardiovascular disease in patients with acute myocardial infarction. The investigators designed the current study to evaluate the most ideal oral hypoglycemic agent in type 2 diabetes patients undergoing percutaneous coronary intervention for acute myocardial infarction. The investigators hypothesize that the use of SGLT-2 inhibitors will reduce cardiovascular events and modify left ventricular remodeling after myocardial infarctions.
8 hospitals of the Catholic University of Korea with high-volume percutaneous coronary intervention of following hospitals are participating in the current study. Seoul St. Mary's Hospital, Seoul, South Korea Yeoido St. Mary's Hospital, Seoul, South Korea Uijongbu St. Mary's Hospital, Gyeonggi-do, South Korea Eunpyeong St. Mary's Hospital, Seoul, South Korea Bucheon St. Mary's Hospital, Gyeonggi-do, South Korea Incheon St. Mary's Hospital, Incheon, South Korea St. Vincent Hospital, Gyeonggi-do, South Korea Daejeon St. Mary's Hospital, Daejeon, South Korea After recruitment of all patients, the control group will be selected from a previous prospective cohort (COREA-AMI, NCT02385682) using identical inclusion / exclusion criteria except for use of SGLT2 inhibitors. The control cohort of 3,000 patients will be selected using 1:3 propensity matching.
Study Type
OBSERVATIONAL
Enrollment
1,000
Patients started on SGLT2 inhibitors after PCI for AMI
Seoul St. Mary's Hospital
Seoul, South Korea
RECRUITINGMajor adverse cardiac and cerebrovascular events
A composite of cardiac death, nonfatal MI, nonfatal stroke, and HF hospitalization
Time frame: 2 years
Cardiac death
Cardiovascular death
Time frame: 2 years
Nonfatal myocardial infarction
non-fatal myocardial infarction
Time frame: 2 years
Nonfatal stroke
non-fatal stroke
Time frame: 2 years
Hospitalization for heart failure
hospitalization for HF
Time frame: 2 years
Target lesion revascularization
Revascularization performed for target lesion
Time frame: 2 years
Target vessel revascularization
Revascularization performed for target vessel
Time frame: 2 years
Non-target vessel revascularization
Revascularization performed for non-target vessel
Time frame: 2 years
Definite/Probable stent thrombosis
Definite or probable stent thrombosis
Time frame: 2 years
Absolute and percentage change of microalbuminuria
Absolute and percentage change of microalbuminuria
Time frame: 2 years
Absolute and percentage change of HbA1c
Absolute and percentage change of HbA1c
Time frame: 2 years
Absolute and percentage change of NT-proBNP
Absolute and percentage change of NT-proBNP
Time frame: 2 years
Absolute and percentage change of BMI
Absolute and percentage change of BMI
Time frame: 2 years
Absolute and percentage change of body weight
Absolute and percentage change of body weight
Time frame: 2 years
Changes in echocardiograhic parameters
LVEF, LVEDV, LVESV, LVMI, E, A, DT, E/E'
Time frame: 1 year
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