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Patients with acute ST-segment elevation myocardial infarction and thrombolysis indications, will be given the recombinant human prourokinase for thrombolysis treatment, and in accordance with the guidelines, will be treated with coronary angiography examination 3 to 24 hours after thrombolysis. The study will explore the best time for interventional therapy combined with thrombolysis.
The noninferiority multicenter, prospective, randomized, controlled study of urokinase of restructuring the original design evaluation (rhPro - UK) at different times after thrombolysis combined with percutaneous coronary intervention(PCI)therapy of acute ST segment elevation myocardial infarction.Patients with acute ST segment elevation myocardial infarction and thrombolysis indications, will be given the recombinant human prourokinase for thrombolysis treatment, and in accordance with the guidelines, will be treated with coronary angiography examination 3 to 24 hours after thrombolysis. The study will explore the best time for interventional therapy combined with thrombolysis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| A group | Experimental | STEMI patients first are given thrombolysis and then transfer to PCI center to be treated by PCI 3-6 hours after thrombolysis if the thrombolysis is successful. if the thrombolysis is not successful, patients will be treated by PCI immediately. |
|
| B group | Experimental | STEMI patients first are given thrombolysis and then transfer to PCI center to be treated by PCI 6-24 hours after thrombolysis if the thrombolysis is successful. if the thrombolysis is not successful, patients will be treated by PCI immediately. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| thrombolysis and PCI of A type | Combination Product | STEMI patients first are given thrombolysis and then transfer to PCI centers to be treated by PCI 3-6 hours after thrombolysis. |
| Measure | Description | Time Frame |
|---|---|---|
| Post-PCI(percutaneous coronary intervention) myocardial perfusion (TIMI flow grade) | The investigators will check myocardial perfusion (TIMI flow grade) after PCI (percutaneous coronary intervention)immediately. | intraoperative |
| The incidence of no reflow | The investigators will check the incidence of no reflow after PCI(percutaneous coronary intervention) immediately. | intraoperative |
| Measure | Description | Time Frame |
|---|---|---|
| Major Adverse Cardiovascular Events (MACE) | Death and recurrence of myocardial infarction and target vessels revascularization | 1 month, 3 month,6 month,12 month |
| Post-PCI heart function | The value of ejection fraction will be examined by cardiac ultrasound for heart function. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Bin Liu, Doctor | Contact | 043188796598 | liubin3333@vip.sina.com | |
| Yongfeng Shi, Doctor | Contact | 043188796625 | 32919079@qq.com |
| Name | Affiliation | Role |
|---|---|---|
| Bin Liu, Doctor | Second Hospital of Jilin University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The second hospital of Jilin university | Recruiting | Changchun | Jilin | 130041 | China |
when the investigators complete the study and publish our data
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| ID | Term |
|---|---|
| D000072657 | ST Elevation Myocardial Infarction |
| D013927 | Thrombosis |
| ID | Term |
|---|---|
| D009203 | Myocardial Infarction |
| D017202 | Myocardial Ischemia |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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| ID | Term |
|---|---|
| D005343 | Fibrinolytic Agents |
| ID | Term |
|---|---|
| D050299 | Fibrin Modulating Agents |
| D045504 | Molecular Mechanisms of Pharmacological Action |
| D020228 | Pharmacologic Actions |
| D020164 | Chemical Actions and Uses |
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The patients with STEMI will be divided into two group randomly. Patients of A group will be treated by thrombolysis and then 3-6 hours will be treated by PCI. Patients of B group will be treated by thrombolysis and then 6-24 hours will be treated by PCI.
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| thrombolysis and PCI of B type | Combination Product | STEMI patients first are given thrombolysis and then transfer to PCI centers to be treated by PCI 6-24 hours after thrombolysis. |
|
| 1 month, 3 month,6 month,12 month |
| The incidence of serious bleeding events | The incidence of serious bleeding events including all cause. | 1 year |
| D014652 |
| Vascular Diseases |
| D007238 | Infarction |
| D007511 | Ischemia |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009336 | Necrosis |
| D016769 | Embolism and Thrombosis |
| D002317 | Cardiovascular Agents |
| D045506 | Therapeutic Uses |
| D006401 | Hematologic Agents |