National, Multi-center, Prospective, and Retrospective Cohort Study. (REGION)

Russian Registry of Acute Myocardial Infarction

National, multi-center, observational, prospective, and retrospective cohort study. The study does not provide for intervention in routine clinical practice.

Key goals:

• Obtaining real-world evidence on the diagnosis and treatment of AIM in Russian hospitals, including both long- and short-term findings and outcomes (i.e. during hospitalization,

and 6-12 months after the diagnosis establishment).

• Evaluation of the applied approaches to the management of AIM patients for compliance with the clinical recommendations across various hospitals, with a breakdown by equipment status;
• Assessment of patients' treatment adherence after 6 and 12 months.

The expected project duration is 3 years. The study subjects will be recruited during the first 24 months unless the investigators decide to terminate or extend the study period. The period of observation for each patient is 6 to 12 months. The project involves retrospective and prospective collection of information from medical records. All patient data shall be recorded by the Investigator into an approved electronic case report form (eCRF).

Recruitment period: 2020-2022. Expected number of subjects: 10,000.

Study Overview

• Status: Recruiting
• Conditions: Acute Myocardial Infarction

Detailed Description

The Russian Registry of Acute Myocardial Infarction study is an independent study initiated by the investigators;

The partner inpatient hospitals will provide data on every patient with known acute myocardial infarction (I21) admitted between days 1 and 10 of each month during the recruitment period.The Russian Registry of Acute Myocardial Infarction study is an independent study initiated by the investigators;

For every engaged hospital (medical center) the investigators will designate a 2-3 person task team, including a Team Leader;

The participants shall be kept informed and coordinated via email and messengers. The website of the Russian Society of Emergency Cardiology.

The study will be hosted by the CRM Quinta® platform.

Administration, data entry monitoring, and statistical processing will be carried out by Aston Consulting (a certified personal data operator.)

AO Aston Consulting has a license for storage and processing of personal data in accordance with the applicable legislation.

PATIENTS.

INCLUSION CRITERIA

1. Diagnosed acute ST-elevation myocardial infarction (STEMI) or non-ST elevation myocardial infarction (NSTEMI) (ICD 10 I21 ); the diagnosis is established based on the Fourth Universal Definition of Myocardial Infarction Guidelines 2018 .

EXCLUSION CRITERIA

1. A patient or his/her legal representative did not sign IC.

STUDY ASSESSMENTS

The following information will be collected and entered into CRF: Full name

Residential address

Phone number of patients or their legal representatives' Demographic profile. Weight, height

Social status (education, job title, occupation status)

Co-morbidities

Clinical signs and symptoms

Drug therapy.

Clinical outcomes during the hospital stay.

Drug therapy and clinical outcomes in 6 and 12 months after the diagnosis establishment.

Hospitals wishing to join the study must contact any of the project coordinators and complete the Participation questionnaire (Appendix 4).

The Registry enrolment process starts in 2020 and will continue for 24 months. The hospitals that will not be able to start the enrolment in 2020 will have the chance to do it before December 31, 2022, and perform the follow-up monitoring for the next 12 months.

At the moment of the enrolment, the patient's data are to be entered into the online database. Any new data that might appear during the hospital stay will be successively or immediately entered into the database at the moment of the patient's death/discharge. The data received during an in-person or a phone contact 6 or 12 months after the enrolment will also be entered into the database.

Shall the initiators have any questions regarding the entered data, they will ask the participants to elaborate, clarify, or correct the data.

If the patient dies before the enrolment to the study, his/her data shall be entered into the database retrospectively.

The patients (or their legal representatives) enrolled to the Registry must be kept informed about the inclusion in this observational program and give their written consent for participation (patients who died or are otherwise unable to sign the consent to the processing of personal data will be enrolled on a de-identified basis.)

• Study Type: Observational
• Enrollment (Anticipated): 10000

Contacts and Locations

• Study Contact: Name: Shakhnovich; Phone Number: +7 9037992718; Email: shakhnovich@mail.ru

Study Locations

• Russian Federation
  • Moscow, Russian Federation, 121551
    • Recruiting
    • Federal State Budgetary Institution NATIONAL MEDICAL CENTER CARDIOLOGY RESEARCH CENTER Ministry of Health of the Russian Federation
    • Contact: Shakhnovich; Phone Number: +79037992718; Email: shakhnovich@mail.ru

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: N/A
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

Adult patients 18+1. Diagnosed acute ST-elevation myocardial infarction (STEMI) or non-ST elevation myocardial infarction (NSTEMI) (ICD 10 I21); the diagnosis is established based on the Fourth Universal Definition of Myocardial Infarction Guidelines 2018 and signed ( or his/her legal representative) informed consent

Description

Inclusion Criteria:

• 1. Diagnosed acute ST-elevation myocardial infarction (STEMI) or non-ST elevation myocardial infarction (NSTEMI) (ICD 10 I21); the diagnosis is established based on the Fourth Universal Definition of Myocardial Infarction Guidelines 2018 .

The diagnosed patient was admitted to the hospital between days 1 and 10 of the current mont.

Exclusion Criteria:

1. A patient or his/her legal representative did not sign the IC.

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Study Plan

How is the study designed?

Design Details

• Observational Models: Cohort
• Time Perspectives: Cross-Sectional

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Monitoring of the patient	Recording of all events that occur with the patient for 12 months from the moment of diagnosis Acute myocardial infarction : repeated heart attack, change of therapy, complications from the cardiovascular system, death	12 monthes

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Frequency of the following episodes 2. The proportion of patients who continue taking statins, antiplatelets, and drugs from other groups 6 months or 1 year post-discharge.	Record the f- recurrent MI; heart failure; ischemic stroke; clinically significant bleeding; unplanned revascularisation post-discharge frequency of complications:	12 monthes

Collaborators and Investigators

• Sponsor: Healthy Future
• Investigators: Principal Investigator: Pevzner, Myasnikov Institute of Clinical Cardiology

Study record dates

Study Major Dates

• Study Start (Actual): October 1, 2020
• Primary Completion (Anticipated): December 31, 2022
• Study Completion (Anticipated): December 31, 2024

Study Registration Dates

• First Submitted: August 17, 2020
• First Submitted That Met QC Criteria: August 17, 2020
• First Posted (Actual): August 20, 2020

Study Record Updates

• Last Update Posted (Actual): August 3, 2022
• Last Update Submitted That Met QC Criteria: August 2, 2022
• Last Verified: August 1, 2022

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Ischemia; Pathologic Processes; Necrosis; Myocardial Ischemia; Heart Diseases; Cardiovascular Diseases; Vascular Diseases; Myocardial Infarction; Infarction
• Other Study ID Numbers: AMI 05.2020

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: No

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No