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This is a prospect, multi-center, random study to investigate whether early offering PCSK9 inhibitor to acute myocardium infarction(AMI) can alleviate ventricular remodeling after primary percutaneous intervention(PPCI). Totally,twenty acute myocardium infarction subjects will be enrolled in this study after consent information. After randomization, the control group will receive standard therapy for AMI including PPCI. The experiment group will receive first PCSK9 inhibitor before PPCI, then twice a month until 3 months later. Six month after AMI, Myocardial salvage index will be used to evaluate ventricular remodeling. TnI peaking time and LDL control rates also will be recorded and compared.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| standard group | Active Comparator |
| |
| experiment group | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PCSK9 inhibitor (Alirocumab)plus standard medications | Drug | PCSK9 inhibitor(Alirocumab) was giving to subjects before PPCI and continued twice a month until 3 month after AMI |
|
| Measure | Description | Time Frame |
|---|---|---|
| myocardial salvage index measured by MRI | one week after PPCI | |
| myocardial salvage index measured by MRI | six months after PPCI | |
| eject fraction measured by MRI | one week after PPCI | |
| eject fraction measured by MRI | six month after PPCI |
| Measure | Description | Time Frame |
|---|---|---|
| the change of serum level of TnI/T | 0,6 ,12,18 , 24 ,30,and 36 hours after PPCI | |
| LDL -C control rate | the first month after PPCI | |
| the serum lever of hsCRP |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Lei Hou, Doctor | Contact | 13564868096 | Dr_houlei@163.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tongren Hospital, Shanghai | Recruiting | Shanghai | Shanghai Municipality | China |
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| standard medications | Drug | standard medications was giving to subjects according guidelines |
|
| Baseline (before PPCI) |
| the serum lever of hsCRP | one week after PPCI |
| Shanghai tenth people's hospital | Recruiting | Shanghai | China |
|