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CTRI Number  CTRI/2024/01/061773 [Registered on: 23/01/2024] Trial Registered Prospectively
Last Modified On: 19/01/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Incidences of STEMI equivalents among classical STEMI in emergency department of AVBRH 
Scientific Title of Study   Incidence of STEMI equivalents in Emergency medicine department of AVBRH-A prospective cross sectional study  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Utkarsh Gaur 
Designation  junior resident 
Affiliation  DMIHER 
Address  Department of emergency medicine AVBRH
Sawangi, Wardha
Wardha
MAHARASHTRA
442001
India 
Phone  09871795421  
Fax    
Email  utkarshgaur21@yahoo.com  
 
Details of Contact Person
Scientific Query
 
Name  Gajanan Chavan 
Designation  HOD 
Affiliation  DMIHER 
Address  Department of emergency medicine AVBRH

Wardha
MAHARASHTRA
442001
India 
Phone  7694014955  
Fax    
Email  gcgcny@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Utkarsh Gaur 
Designation  junior resident 
Affiliation  DMIHER 
Address  Department of emergency medicine AVBRH
Sawangi
Wardha
MAHARASHTRA
442001
India 
Phone  09871795421  
Fax    
Email  utkarshgaur21@yahoo.com  
 
Source of Monetary or Material Support  
Acharya Vinoba Bhave rural hospital and Jawaharlal Nehru medical college 
 
Primary Sponsor  
Name  Utkarsh Gaur 
Address  Department of emergency medicine AVBRH 
Type of Sponsor  Private medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Utkarsh Gaur  Acharya Vinoba Bhave rural hospital  Sawangi(Meghe), Wardha
Wardha
MAHARASHTRA 
9871795421

utkarshgaur21@yahoo.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional ethics committee, Datta meghe institute of medical sciences  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: I228||Subsequent ST elevation (STEMI) myocardial infarction of other sites,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  1. Age 20 - 80 yrs both sexes
2. ECG suspected of Acute coronary syndrome
3. ECG suspected of STEMI variant
 
 
ExclusionCriteria 
Details  1. Previous Myocardial Infarction in last 3 months
2. Patient not willing to participate in study
 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To estimate the incidences of STEMI equivalent in ACS patient  4 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
1. to determine the prognostic significance of these findings
2. To estimate the potential for advance research
 
4weeks 
 
Target Sample Size   Total Sample Size="120"
Sample Size from India="120" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   08/02/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

Acute myocardial infarction [AMI] is a leading cause of high morbidity and mortality, and hence early identification and intervention may result in improved outcome. Only a small proportion result in diagnoses of ST elevation myocardial infarction (STEMI) out of 6.9 million chest pain patients. AMI represents only 0.26% and this results in total morbidity and mortality. Early cardiac repurfusions significantly reduces mortality and morbidity. STEMI is defined as a new ≥ 1 mm ST-elevation at the J-point in two contiguous leads. For males under 40 lead v2-v3 > 2.5mm ST elevation, for males 40 years >2mm ST elevation. For females >1.5mm with no age bar.

Some of the ECG morphologies dont meet the ST elevation criteria but suggest acute coronary occlusion which will be benefitted with revascularization. Three such patterns have been increasingly identified, 1. De winter T wave, 2. Wellen syndrome, 3. AVR lead ST segment elevation.4. Posterior wall myocardial infraction

 


 
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