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| ID | Type | Description | Link |
|---|---|---|---|
| 15793 | Other Identifier | REB |
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Ischemic postconditioning can reduce myocardial injury following myocardial infarction.
A potential pharmacological agent is the anesthetic Sevoflurane. The investigators' hypothesis is that sevoflurane during primary percutaneous coronary intervention (PCI) will reduce infarct size.
Patients with first STEMI that will be treated by primary PCI, will be randomized to sedation with Sevoflurane during the procedure or to usual care.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Active Comparator | Sevoflurane |
|
| 2 | Placebo Comparator | Oxygen |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Oxygen + Sevoflurane | Drug | Oxygen with end-tidal MAC of Sevoflurane 0.5 during PCI. |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Infarct size by area under the curve of cardiac markers. | 3 days |
| Measure | Description | Time Frame |
|---|---|---|
| Left ventricular function. | Six month | |
| ST segment elevation resolution | 90 minutes | |
| TIMI flow |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Shahar Lavi, MD | London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| London Health Sceinces Centre | London | Ontario | N6A5A5 | Canada |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26296299 | Derived | Lavi S, Alemayehu M, McCarty D, Warrington J, Lavi R. One-year outcome of the sevoflurane in acute myocardial infarction randomized trial. Can J Anaesth. 2015 Dec;62(12):1279-86. doi: 10.1007/s12630-015-0456-2. Epub 2015 Aug 22. |
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| ID | Term |
|---|---|
| D010100 | Oxygen |
| D000077149 | Sevoflurane |
| ID | Term |
|---|---|
| D018011 | Chalcogens |
| D004602 | Elements |
| D007287 | Inorganic Chemicals |
| D005740 | Gases |
| D008738 |
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| Oxygen (placebo) |
| Drug |
Control will receive oxygen only. |
|
| 60 minutes |
| Renal function | 48 hours |
| CRP | 24 hours |
| Patient satisfaction | 1 hour |
| Methyl Ethers |
| D004987 | Ethers |
| D009930 | Organic Chemicals |
| D006845 | Hydrocarbons, Fluorinated |
| D006846 | Hydrocarbons, Halogenated |
| D006838 | Hydrocarbons |