Left Ventricular Function Assessment After Acute Myocardial Infarction: Comparison Between Bi-, Three-Dimensional and Cardiac Magnetic Resonance
Recruitment status was Active, not recruiting
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Purpose
compare measurements of left ventricular volumes and LVEF obtained by 2DE, 3DE, and CMR after a ST elevation myocardial infarction (STEMI) complicated by systolic left ventricular dysfunction
| Condition | Intervention |
|---|---|
|
Acute Myocardial Infarction |
Other: compare measurements of left ventricular volumes and LVEF (by Cardiac Magnetic Resonance and Echocardiography) |
| Study Type: | Interventional |
| Study Design: | Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Supportive Care |
| Official Title: | Left Ventricular Function Assessment After Acute Myocardial Infarction: Comparison Between bi-, Three-Dimensional and Cardiac Magnetic Resonance |
- compare measurements of left ventricular volumes and LVEF obtained by 2DE, 3DE, and CMR after a ST elevation myocardial infarction (STEMI) complicated by systolic left ventricular dysfunction. [ Time Frame: 3 MONTHS ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 120 |
| Study Start Date: | January 2008 |
| Estimated Study Completion Date: | July 2010 |
| Estimated Primary Completion Date: | January 2010 (Final data collection date for primary outcome measure) |
-
Other: compare measurements of left ventricular volumes and LVEF (by Cardiac Magnetic Resonance and Echocardiography)
The assessment of left ventricular ejection fraction (LVEF) is a critical step after a myocardial infarction because it determines the prognosis and the therapeutic management (indication of implantable cardioverter-defibrillators). Three-dimensional echocardiography (3DE) and cardiac magnetic resonance (CMR) are accurate and reproducible techniques to quantify left ventricular volumes and LVEF. However, all the large randomized trials which evaluated the role of the implantable cardioverter-defibrillators (ICD) on survival in primary prevention were based on LVEF values obtained by older techniques like bi-dimensional echocardiography (2DE), angiography or radionuclide scanning. From now, no study has compared the measurements of left ventricular volumes and LVEF obtained by further current techniques after an acute myocardial infarction (AMI) particularly after 1 month when ICD could be indicated.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- All the patients presenting a first ischemic clinical episode for at least 30 minutes, associated with one known gap will be included in a forward-looking and consecutive way, of at least 0.1mV in at least two peripheral diversions of the same territory or of at least 0.2 mV in at least two precordial diversions of the same territory
- An initial FEVG (measured by echocardiography or ventricular angiography in the daytime of the admittance)
Exclusion Criteria:
- Age < 18 years
- Antecedents of IDM
- Contraindications in the MRI (claustrophobia, stimulating and defibrillators heart patient implantable, metal intraocular brightness, allergy in the gadolinium, the severe renal insufficiency with clearance in the creatinine ≤30 mL/min)
- Fibrillation little finger
- Pregnancy.
Contacts and Locations| France | |
| Timone's hospital | |
| Marseille, France, 13 | |
| Principal Investigator: | franck THUNY, MD | Assistance Publique des Hôpitaux de Marseille |
More Information
No publications provided
| Responsible Party: | Assistance publique hopitaux de marseille, Direction de la recherche |
| ClinicalTrials.gov Identifier: | NCT00623272 History of Changes |
| Other Study ID Numbers: | 2007 28, 2007-A01081-52 |
| Study First Received: | February 14, 2008 |
| Last Updated: | June 13, 2008 |
| Health Authority: | France: Ministry of Health France: Institutional Ethical Committee |
Keywords provided by Assistance Publique Hopitaux De Marseille:
|
The assessment of left ventricular ejection fraction (LVEF) |
Additional relevant MeSH terms:
|
Infarction Myocardial Infarction Ischemia Pathologic Processes Necrosis |
Myocardial Ischemia Heart Diseases Cardiovascular Diseases Vascular Diseases |
ClinicalTrials.gov processed this record on May 23, 2013