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There is experimental evidence that low levels of adiponectin are associated with more reperfusion injury. In addition experimental studies have demonstrated that endothelial progenitor cells may have a favorable effect on remodeling, mainly through stimulation of neo-revascularisation. Clinical data on these issues are lacking. This clinical project studies the role of adiponectin, endothelial progenitor cells and endothelial microparticles in the ischaemia-reperfusion process and the compensatory ventricular remodelling in a population of 250 infarction patients treated with primary PCI. If the role of these factors could be confirmed in this clinical setting, those factors might represent a new target for therapeutic interventions in AMI patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| STEMI patients | Patients with ST elevation myocardial infarction,lasting <12 hour, who were succesfully treated with primary PCI |
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| Measure | Description | Time Frame |
|---|---|---|
| occurrence of reperfusion injury after succesfull primary PCI | Serial ECG measurements (before and after PCI to assess extent of ST segment resolution as marker of reperfusion injury | within 90 min after PCI |
| Measure | Description | Time Frame |
|---|---|---|
| Major cardiovascular event rate | combined endpoint of hospitalisation (or extension of hospitalisation) for heart failure and cardiac death in a period of one year | at 1 year |
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Inclusion Criteria:
Exclusion Criteria:
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ST elevetion myocardial infarction patients
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| Name | Affiliation | Role |
|---|---|---|
| Marc Claeys, MD PHD | University Hospital, Antwerp | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University hospital | Edegem | Antwerp | 2650 | Belgium |
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| ID | Term |
|---|---|
| D009203 | Myocardial Infarction |
| D015427 | Reperfusion Injury |
| ID | Term |
|---|---|
| D017202 | Myocardial Ischemia |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D014652 | Vascular Diseases |
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blood samples
| D007238 |
| Infarction |
| D007511 | Ischemia |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009336 | Necrosis |
| D011183 | Postoperative Complications |