RecruitingPhase 4NCT06562582

STunning in Acute Myocardial Infarction - BAS

STunning in Acute Myocardial Infarction - Beta Blockers, Angiotensin Converting Enzyme Inhibitors and Sodium/Glucose Cotransporter 2 Inhibitors Trial A Low Intervention Clinical Tria


Sponsor

Vastra Gotaland Region

Enrollment

120 participants

Start Date

Jan 6, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

The objective of this trial is to examine the effect of immediate versus late administration of beta blockers, angiotensin converting enzyme inhibitors (ACEI), and sodium/glucose cotransporter 2 (SGLT2) inhibitors on echocardiographic parameters and biomarkers in subjects with ST-elevation myocardial infarction (STEMI)


Eligibility

Min Age: 18 Years

Inclusion Criteria2

  • Patients with STEMI who undergo primary PCI within 6 hours of symptom onset (Excluding prodromal symptoms)
  • Informed consent

Exclusion Criteria7

  • Killip class ≥ 3
  • Chronic kidney disease with GFR < 25 ml/min/1.73 m2
  • Pre-existing non-reversible cardiac dysfunction or heart failure
  • Current treatment with any beta blocker, RAAS inhibitor or SGLT2 inhibitor
  • Absolute or relative contraindication to any one of the study drugs that confers a risk of patient safety if the patient participates in the trial and adheres to the protocol-specified recommendations, per the assessment of the treating physician
  • Life expectancy less than one year
  • Pregnancy or women of childbearing potential who is not sterilized or is not using a medically accepted form of contraception

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Interventions

DRUGBisoprolol Oral Tablet

Timing of drug intervention after PCI

DRUGRamipril Oral Product

Timing of drug intervention after PCI

DRUGDapagliflozin Oral Product

Timing of drug intervention after PCI


Locations(1)

Sahlgrenska University Hospital

Gothenburg, Sweden

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NCT06562582


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