Related trials
ZEST AMI (vs SES), 2009 - zotarolimus ES vs sirolimus ES
TRIANA, 2009 - primary ballon angioplasty vs tenecteplase
DEBATER (SES vs BMS), 2009 - sirolimus ES vs bare-metal stent
NORDISTEMI, 2009 - thrombolysis + angioplasty vs immediate thrombolysis
Juwana, 2009 - sirolimus ES vs paclitaxel ES
ZEST AMI (vs PES), 2009 - zotarolimus ES vs paclitaxel ES
PASEO, 2009 - drug ES vs bare-metal stent
CARESS, 2008 - thrombolysis + angioplasty vs immediate thrombolysis
HORIZONS-AMI Stent, 2008 - paclitaxel ES vs bare-metal stent
MISSION, 2008 - sirolimus ES vs bare-metal stent
DEDICATION, 2008 - drug ES vs bare-metal stent
Díaz de la Llera, 2007 - sirolimus ES vs bare-metal stent
SESAMI, 2007 - sirolimus ES vs bare-metal stent
TYPHOON, 2006 - sirolimus ES vs bare-metal stent
PROSIT, 2006 - sirolimus ES vs paclitaxel ES
HAAMU-STENT, 2006 - paclitaxel ES vs bare-metal stent
PASSION, 2006 - paclitaxel ES vs bare-metal stent
WEST, 2006 - systematic PCI (+stent) vs no systematic PCI
CAPITAL AMI, 2005 - thrombolysis + angioplasty vs immediate thrombolysis
Di Lorenzo et al., 2005 - sirolimus ES vs paclitaxel ES
ZWOLLE 6, 2005 - primary stenting vs ballon angioplasty
CAPITAL AMI, 2005 - systematic PCI (+stent) vs no systematic PCI
senior PAMI, 2005 - primary PCI vs thrombolytic therapy
STOPAMI 3, 2004 - primary stenting vs ballon angioplasty
GRACIA-1, 2004 - systematic PCI (+stent) vs no systematic PCI
See also:
All acute myocardial infarction clinical trials
All clinical trials of PCI
All clinical trials of primary ballon angioplasty
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Treatments
| Studied treatment |
primary PTCA
|
| Control treatment |
accelerated alteplase 90 min (15 mg IV bolus followed by an infusion of 0.75 mg/kg over 30min not to exceed 50mg, and then 0.5 mg/kg over the next 60min not to exceed 35mg for a total maximun of 100mg)
|
| Concomittant treatment |
NA |
| Treatments description |
|
Patients
| Inclusion criteria |
Patients with inferior AMI and anterior ST-depression >4mm V1-V4, within 6 hrs of symptoms |
| Exclusion criteria |
NA |
| Baseline characteristics |
| anterior MI |
0% |
| inferior MI |
100% |
| Delay to treatment (PTCA vs thr) |
7 min |
| Diabetes |
NA |
| Previous MI |
NA |
| Killip>=2 |
NA |
| Mean EF |
NA |
| % female |
NA |
| mean age |
NA |
|
Method and design
| Randomized effectives |
24 / 26 (studied vs. control) |
| Design |
Parallel groups |
| Blinding |
open |
| Follow-up duration |
discharge |
| Lost to follow-up |
ND |
| Number of centre |
single center |
| Geographic area |
Italy |
| Hypothesis |
Superiority |
| Withdrawals (T1/T0) |
ND / |
Results
Endpoint
Studied treat. n/N
Control treat. n/N
Graph
RR [95% CI]
In-hospital death
0 / 24
0 / 26
classic
1,08 [0,00;269,33]
0
2
1.0
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Relative risks
|
| Endpoint |
Events (%) |
Relative Risk |
95% CI |
Endpoint definition in the trial |
Ref |
| Studied treat. |
Control treat. |
|
In-hospital death
|
0 / 24 (2,1%) |
0 / 26 (1,9%) |
1,08 |
[0,02;52,49] |
|
|
|
The primary endpoint (if exists) appears in blod characters
|
|
Reference(s) used for data extraction:
|
| Endpoint |
studied treat. |
control treat. |
mean diff |
|
Absolute risk reduction
|
| Endpoint |
Events rate |
Absolute risk reduction (ARR) |
| Studied treat. |
Control treat. |
Reference(s)
|