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NCT04828681Completed

Angio-IMR and Cardiac MR-derived MVO in STEMI Patients

Functional Coronary Angiography-Derived Index of Microcirculatory Resistance and Microvascular Obstruction in Cardiac Magnetic Resonance Imaging After ST-segment Elevation Myocardial Infarction

Source: ClinicalTrials.gov · Last updated 14 Mar 2025

Brief summary (registry, in English)

Coronary microcirculatory dysfunction has been known to be prevalent even after successful revascularization of ST-segment elevation myocardial infarction (STEMI) patients. Microvascular obstruction (MVO) in cardiac magnetic resonance (CMR) is significant prognostic indicator in STEMI patients after primary percutaneous coronary intervention (PCI). Although current gold-standard method to assess microvascular damage or dysfunction in STEMI patients is CMR and assessment of MVO, previous study presented that index of microcirculatory resistance (IMR) in culprit vessel of STEMI patients showed significant association with the presence of MVO in CMR and the risk of cardiac death or heart failure admission. Nevertheless, the need for pressure-temperature sensor wire and hyperemic agents significantly limits adoption of IMR in daily practice. Recent technical development enabled angiographic derivation of IMR without pressure wire, hyperemic agents, or thermodilution method. In this regard, the current study will evaluate the feasibility of functional angiography-derived IMR (angio-IMR) in the evaluation of MVO after successful primary PCI for STEMI.

Status (registry)
Completed
Study type
Observational
Enrollment
324 (actual)
First submitted
30 Mar 2021
Start date
Dec 2007
Primary completion date
Dec 2021
Lead sponsor
Samsung Medical Center
NCT number
NCT04828681

What you commit to

  • Study type: Observational
  • Participants enrolled: 324
  • From Dec 2007 to the primary completion date, Dec 2021
  • 2 sites in 2 countries
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Other

  • patients with failed primary PCI
  • treated by medical treatment alone without PCI
  • no available coronary angiographic images
  • insufficient image quality for angio-IMR calculation

Who the study is looking for

  • STEMI patients
  • Successful primary PCI in the culprit vessel
  • Underwent cardiac MR during index hospitalization
  • Suitable coronary angiographic images for angio-IMR analysis

Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (2)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Shanghai Institute of Cardiovascular Diseases, Shanghai, China
Coordinator of this site? Confirm its status
ShanghaiChinaUnknown status
University of Iowa Carver College of Medicine, Iowa City, IA, USA
Coordinator of this site? Confirm its status
Iowa CityUnited StatesUnknown status

This page is information, not medical advice. Discuss any trial with your doctor.