RECRUITINGOBSERVATIONAL
Coronary Microvascular Dysfunction Assessments in Myocardial Infarction With Non-Obstructive Coronary Arteries
Clinical Relevance of Coronary Microvascular Dysfunction Assessments in Myocardial Infarction With Non-Obstructive Coronary Arteries
About This Trial
To compare clinical outcomes of myocardial infarction with non-obstructive coronary arteries (MINOCA) according to the coronary microvascular dysfunction (CMD), evaluated by optical coherence tomography (OCT), invasive and non-invasive coronary physiologic assessment.
Who May Be Eligible (Plain English)
Who May Qualify:
- Subject with age ≥19 years and acute myocardial infarction
- Rise and/or fall of cardiac troponin with one level \>99 percentile plus ischemic signs/symptoms
- Subject with non-obstructive coronary arteries
- \<50% diameter stenosis or
- fractional flow reserve (FFR) \>0.80 ③ Subject without previous history of coronary artery disease
- Subject who performed invasive coronary angiography within 24 hours after presentation ⑤ Subject who eligible for invasive and non-invasive coronary physiologic assessment
Who Should NOT Join This Trial:
- Subject with obstructive coronary arteries
- Subject with alternate diagnosis including sepsis, pulmonary embolism, myocarditis, Takotsubo syndrome, spontaneous coronary dissection, and other cardiomyopathies.
- Subject with cardiogenic shock or cardiac arrest ④ Subject who has non-cardiac co-morbid conditions with life expectancy \<1 year ⑤ Subject or lactating women ⑥ Subject unable to provide consent
Always talk to your doctor about whether this trial is right for you.
Original Eligibility Criteria
View original clinical language
Inclusion Criteria:
* Subject with age ≥19 years and acute myocardial infarction
* Rise and/or fall of cardiac troponin with one level \>99 percentile plus ischemic signs/symptoms
* Subject with non-obstructive coronary arteries
* \<50% diameter stenosis or
* fractional flow reserve (FFR) \>0.80 ③ Subject without previous history of coronary artery disease
* Subject who performed invasive coronary angiography within 24 hours after presentation ⑤ Subject who eligible for invasive and non-invasive coronary physiologic assessment
Exclusion Criteria:
* Subject with obstructive coronary arteries
* Subject with alternate diagnosis including sepsis, pulmonary embolism, myocarditis, Takotsubo syndrome, spontaneous coronary dissection, and other cardiomyopathies.
* Subject with cardiogenic shock or cardiac arrest ④ Subject who has non-cardiac co-morbid conditions with life expectancy \<1 year ⑤ Subject or lactating women ⑥ Subject unable to provide consent
Treatments Being Tested
DIAGNOSTIC_TEST
Intravascular imaging (OCT), Invasive physiologic assessment (FFR, CFR, IMR), or Non-invasive physiologic assessment (N-13 ammonia PET)
Intravascular imaging (OCT), Invasive physiologic assessment (FFR, CFR, IMR), or Non-invasive physiologic assessment (N-13 ammonia PET)
Locations (1)
Chonnam National University Hospital
Gwangju, South Korea