Norwegian Study on District Treatment of ST-Elevation Myocardial Infarction

Ullevaal University Hospital

Status: Unknown

Conditions: Acute Myocardial Infarction

Treatments: Procedure: PCI

Study type: Interventional

Funder types: Other

Identifiers

NCT00161005

2004-162 (Helse Oest)

2935-0304 (UUS)

Details and patient eligibility

About

In the district areas of Norway patients with acute myocardial infarction with ST-elevation, are treated with thrombolysis. An increasing part of them receives thrombolysis before arrival to the local hospital.Usually these patients have been sent to an invasive center if thrombolysis fails or the patient gets ischemic symptoms during the stay.

This study will compare this strategy against immediate transportation to an invasive center after the patient has received thrombolysis.

Enrollment: 266 estimated patients

Sex: All

Ages: 18 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Duration of painless than 6 hours.
• ST-segment elevation of at least 0.1 mV in two or more extremity leads or at least 0.2 mV in two or more precordial leads.
• The patient is getting thrombolysis.
• Time to reach an invasive center is more than 1 hour.
• Age 18-75 years.

Exclusion criteria

• Known serious renal failure (creatinin > 250 mmol/l)
• Pregnancy
• Cardiogenic chock
• Life threatening arrythmias
• Other serious diseases with life expectancy less than 1 year.
• Inability to perform an informed consent

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)