Hydration Status Assessment Through Body Composition Monitoring in Patients With Acute Myocardial Infarction (HYD-AMI)
Hydration Status Assessment Through Body Composition Monitoring And Renal Artery Stenosis Evaluation in Patients With Acute Myocardial Infarction Referred For Primary PCI
Aims:
- evaluate the hydric status through bioimpedance spectroscopy in consecutive acute myocardial infarction patients referred for primary PCI;
- assessment of renal artery stenosis incidence through renal angiography in consecutive STEMI patients;
- fully characterize the complex hydration, metabolic and endothelial profile of these patients in the attempt to define the role played by dehydration in the complex dynamics of acute myocardial infarction.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Gathered data:
- descriptive general demographic data;
- previous pathologies (ischemic heart disease, peripheral arterial disease, stroke, heart failure, previous percutaneous coronary interventions, coronary artery bypass grafting - CABG, known renal disease);
- cardiovascular risk factors (age, weight, height, abdominal perimeter, body mass index, smoking, sedentariness, diabetes, hypertension, dyslipidaemia);
- routine biological data;
- metabolic data (obtained from two body composition monitoring evaluations - before and 12 hours after coronary intervention) - body water, body fat tissue;
- information regarding primary PCI (less than 12 hours of ischemic symptoms);
- coronarographic details, type of used stent, periprocedural specific complications, final TIMI - thrombolysis in myocardial infarction - flow);
- echocardiography at admission (LVEF);
- renal arteries angiographic details performed in the same time with PCI (two independent operators evaluate stenosis based on a predefined scale);
- renal diameters;
- measurement of arterial stiffness through Sphigmocore pulsed-wave-velocity (24 hrs post-procedural, 2 velocities: carotid - femoral and carotid - radial);
- in-hospital and one month follow-up MACE.
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: Adrian Covic, Professor
- Email: accovic@gmail.com
Study Contact Backup
- Name: Alexandru Burlacu, M.D.
- Phone Number: 0040744488580
- Email: alburlacu@yahoo.com
Study Locations
-
-
-
Iasi, Romania, 700503
- Recruiting
- Cardiovascular Diseases Institute - IASI
-
Contact:
- Alexandru Burlacu, MD
- Phone Number: 0040744488580
- Email: alburlacu@yahoo.com
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Inclusion criteria: study population consists of consecutive patients admitted with acute myocardial infarction (<12h) diagnostic confirmed;
- included in the Romanian National Programme of Primary Percutaneous Revascularisation (for who the Guidelines recommend primary PCI);
- have read and signed standard informed consent for angiography in AMI;
Description
Inclusion Criteria:
- adults with ST elevation Myocardial Infarction (<12h) diagnostic confirmed;
- included in the Romanian National Programme of Primary Percutaneous Revascularisation (for who the Guidelines recommend primary PCI);
Exclusion Criteria:
- patients who do not sign informed consent for primary PCI
Study Plan
How is the study designed?
Design Details
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Consecutive STEMI Patients
All patients with AMI referred for primary PCI in a single centre
|
using Fresenius device; two measurements before and after coronary intervention;
Other Names:
Preprocedural coronary arteriography is obtained after sterile preparation and draping of the patient, conscious sedation, infiltration of local anesthetic (lidocaine solution) at the femoral access site, placement of an arterial sheath in the femoral artery, and advancement of the renal guide catheter over a 0.035-in guidewire under fluoroscopic guidance.
After the tip of the guide catheter is positioned at the ostium of the left coronary stem, an angiogram is obtained.
After the guidewire is removed, the proximal end of the catheter is connected to a manifold, and 4-8 mL of contrast is manually injected during cineangiographic recording.
Other Names:
An intravenous antithrombotic agent, usually heparin, is administered before the clinician proceeds with angioplasty.
Other Names:
After the tip of the guide catheter is positioned at the ostium of the renal artery, an angiogram is obtained.
After the guidewire is removed, the proximal end of the catheter is connected to a manifold, and 4-8 mL of contrast is manually injected during cineangiographic recording.
This procedure is performed in the same time with primary PCI
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Hydration Status in Acute Myocardial Infarction Patients (before and after p PCI)
Time Frame: 2 years
|
Assessment of hydration status through body composition monitoring BCM before and after coronary intervention
|
2 years
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Renal Artery Stenosis
Time Frame: 2 years
|
Assessment of renal artery stenosis incidence in consecutive AMI patients;
|
2 years
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Adrian Covic, Professor, Grigore T. Popa University of Medicine and Pharmacy
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Completion (Anticipated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Ischemia
- Pathologic Processes
- Necrosis
- Myocardial Ischemia
- Heart Diseases
- Cardiovascular Diseases
- Vascular Diseases
- Metabolic Diseases
- Arterial Occlusive Diseases
- Kidney Diseases
- Urologic Diseases
- Pathological Conditions, Anatomical
- Water-Electrolyte Imbalance
- Myocardial Infarction
- Infarction
- Constriction, Pathologic
- Renal Artery Obstruction
- Dehydration
Other Study ID Numbers
Other Study ID Numbers
- HYD-AMI001
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