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This study aimed to detect the effects of remote ischemic conditioning on infarct size, global contractility, morbidity, mortality, and renal function in patients undergoing primary percutaneous coronary intervention.
Myocardial infarction (MI) generally refers to segmental (regional) myocardial necrosis, typically endocardial in location, secondary to occlusion of an epicardial artery.
Primary percutaneous coronary intervention (PPCI) is a reperfusion therapy that is carried out in patients who usually have ST-segment elevation MI (STEMI) within a specific time window.
During ischemia, metabolic acidosis occurs due to anaerobic metabolism, and ischemic injury ensues. After restoration of blood supply, reactive oxygen species (ROS) production and local inflammation increase secondary injury.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Remote ischemic conditioning | Experimental | Remote ischemic conditioning (RIC) was applied to those patients. |
|
| Normal primary percutaneous coronary intervention | Active Comparator | Patients followed the standard primary percutaneous coronary intervention pathway. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Remote ischemic conditioning | Procedure | Remote ischemic conditioning (RIC) was applied to those patients. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Cardiac death | Incidence of cardiac death was recorded. | 1 month post-procedure |
| Measure | Description | Time Frame |
|---|---|---|
| Hospitalization for heart failure | Hospitalization for heart failure post-randomization in the intention-to-treat population was assessed. | 1 month post-procedure |
| Contrast induced nephropathy |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Helwan University | Helwan | 11795 | Egypt |
The data will be available upon a reasonable request from the corresponding author after the end of study for one year.
After the end of study for one year.
The data will be available upon a reasonable request from the corresponding author.
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| Normal primary percutaneous coronary intervention | Procedure | Patients followed the standard primary percutaneous coronary intervention pathway. |
|
Contrast induced nephropathy was assessed.
| 1 month post-procedure |
| Incidence of adverse events | Incidence of adverse events was recorded. | 1 month post-procedure |
| Renal impairment | Renal impairment was recorded. | 1 month post-procedure |