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The purpose of this study to investigate whether the administration of high-dose tirofiban before primary PCI could reduce myocardial infarct size, using analysis of contrast-enhanced magnetic resonance imaging.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Experimental | Aspirin, clopidogrel, unfractionated heparin plus tirofiban infusion at high bolus dose |
|
| 2 | No Intervention | Aspirin, clopidogrel, unfractionated heparin |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| tirofiban | Drug | tirofiban (25 μg/kg bolus and 0.15 μg/kg/min maintenance infusion for 24 hours) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Infarct size and its transmural extent using MRI | within the first 30 days after index procedure |
| Measure | Description | Time Frame |
|---|---|---|
| pre-PCI thrombolysis in myocardial infarction grade, post-PCI myocardial blush grade, ST-segment resolution on electrocardiography, and left ventricular ejection fraction on echocardiography | at 6 month after index procedure |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Hyeon-Cheol Gwon, MD, PhD | Samsung Medical Center | Principal Investigator |
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| ID | Term |
|---|---|
| D009203 | Myocardial Infarction |
| ID | Term |
|---|---|
| D017202 | Myocardial Ischemia |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D014652 | Vascular Diseases |
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| ID | Term |
|---|---|
| D000077466 | Tirofiban |
| ID | Term |
|---|---|
| D014443 | Tyrosine |
| D024322 | Amino Acids, Aromatic |
| D000598 | Amino Acids, Cyclic |
| D000596 | Amino Acids |
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| D007238 |
| Infarction |
| D007511 | Ischemia |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009336 | Necrosis |
| D000602 |
| Amino Acids, Peptides, and Proteins |