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| Name | Class |
|---|---|
| JW Pharmaceutical | INDUSTRY |
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The purpose of this study is to determine whether nicorandil reduce cardiac infarct size in patient with ST-segment elevation acute myocardial infarction.
Study objective :
To investiage whether nicorandil treatment reduce infarct size measured by cardiac MRI at 6 months after primary PCI
Allocation :
Nicorandil arm :
Recieve nicorandil 4 mg i.v. before undergoing PCI, additionall 2mg i.c. just before 1st ballooning, additionall 2mg i.c. just before stenting, After successful PCI, 10 mg/day (or 5 mg/day) p.o. for 6 months.
Control arm :
Recieve standard treatment including PCI, but avoid nicoranil and adenosine.
Follow-up and Measurement :
Cardiac MRI scans are scheduled at 5 days and 6 months after primary PCI. Clinically followed upto 6 months after parimary PCI.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Nicorandil | Experimental | Receive nicorandil before primary PCI and thereafter for 6 months along with the standard therapy. |
|
| Control | No Intervention | Receive primary PCI and the standard therapy. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Nicorandil | Drug | 4 mg iv after randomization, 2 mg ic just before ballooning, 2 mg ic just before stenting |
|
| Measure | Description | Time Frame |
|---|---|---|
| Infarct size as measured by cardiac MRI | Six months after primary PCI |
| Measure | Description | Time Frame |
|---|---|---|
| LVEF(%) as measured by cardiac MRI | Five days and 6 months after primary PCI | |
| MVO as measured by cardiac MRI | Five days after primary PCI | |
| ST-segment resolution |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jun-Hyok Oh, MD | Contact | 82-51-240-7794 | jhoh724@hanmail.net |
| Name | Affiliation | Role |
|---|---|---|
| Jun-Hyok Oh, MD | Pusan National University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Pusan National University Hospital | Recruiting | Pusan | South Korea |
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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 |
|---|---|
| D020108 | Nicorandil |
| ID | Term |
|---|---|
| D009566 | Nitrates |
| D009930 | Organic Chemicals |
| D009536 | Niacinamide |
| D009539 | Nicotinic Acids |
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| One hour after primary PCI |
| MACE (Death, Spontaneous MI, Stroke) | up to 6 months |
| D007238 |
| Infarction |
| D007511 | Ischemia |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009336 | Necrosis |
| D000147 |
| Acids, Heterocyclic |
| D006571 | Heterocyclic Compounds |
| D011725 | Pyridines |
| D006573 | Heterocyclic Compounds, 1-Ring |