Literature DB >> 32459215

Evaluation of pharmacoinvasive strategy versus percutaneous coronary intervention in patients with acute myocardial infarction with ST segment elevation at the National Institute of Cardiology (PHASE-MX).

Luis A Baeza-Herrera1, Diego Araiza-Garaygordobil1, Rodrigo Gopar-Nieto1, Grecia I Raymundo-Martínez1, Arnoldo Loáisiga-Sáenz1, Abraham Villalobos-Flores1, Manuel Martínez-Ramos1, Laura V Torres-Araujo1, Ricardo Pohls-Vázquez1, Abraham Luna-Herbert1, Arturo Alonso-Vázquez1, Itzel V Delgado-Cruz1, Alejandro Cabello-López2, Pablo Martínez-Amezcua3, María A Arias-Mendoza1.   

Abstract

Objective: The objective of PHASE-MX registry is to validate the efficacy and safety of the pharmacoinvasive strategy in comparison with percutaneous coronary intervention (PCI) in patients with acute myocardial infarction with ST segment elevation (STEMI) in a metropolitan region of Mexico. The primary outcome will consist of the composite of cardiovascular death, re-infarction, stroke and cardiogenic shock.
Methods: The PHASE-MX registry will include a prospective cohort of patients with STEMI who received reperfusion treatment (mechanical of pharmacological) in the first 12 h after the onset of symptoms. The registry is designed to compare the efficacy and safety of primary PCI and pharmacoinvasive strategy. The simple size was calculated in 344 patients divided into two groups, with an estimated loss rate of 10%. Patients included in the PHASE-MX cohort will be followed for up to one year.
Conclusion: In Mexico, only 5 out of 10 patients with STEMI have access to reperfusion therapy. Pharmacoinvasive strategy is takes advantage of the accessibility of fibrinolysis and the effectiveness of PCI. The present research protocol aims to provide information that serves as a link between information derived from controlled clinical trials and records derived from real world experience. Copyright:
© 2020 Permanyer.

Entities:  

Keywords:  Acute myocardial infarction; Farmacoinvasivo; Infarto agudo de miocardio; Mexico; México; Pharmacoinvasive; Reperfusion; Reperfusión

Mesh:

Year:  2020        PMID: 32459215     DOI: 10.24875/ACM.19000185

Source DB:  PubMed          Journal:  Arch Cardiol Mex        ISSN: 1665-1731


  2 in total

1.  Pharmacoinvasive Strategy vs Primary Percutaneous Coronary Intervention in Patients With ST-Elevation Myocardial Infarction: Results From a Study in Mexico City.

Authors:  Diego Araiza-Garaygordobil; Rodrigo Gopar-Nieto; Alejandro Cabello-López; Pablo Martinez-Amezcua; Guering Eid-Lidt; Luis A Baeza-Herrera; Héctor Gonzalez-Pacheco; Jose Luis Briseño-De la Cruz; Daniel Sierra-Lara Martinez; Salvador Mendoza-García; Alfredo Altamirano-Castillo; Alexandra Arias-Mendoza
Journal:  CJC Open       Date:  2020-11-25

2.  [Gender differences in mortality in patients with ST-segment elevation myocardial infarction].

Authors:  Grecia I M Raymundo-Martínez; Diego Araiza-Garaygordobil; Rodrigo Gopar-Nieto; Arnoldo E Loáisiga-Sáenz; Luis A Baeza-Herrera; Ricardo Pohls-Vázquez; Laura V Torres-Araujo; Manuel Martínez-Ramos Méndez; Arturo I Alonso; Itzel V Delgado-Cruz; Diestefano E Ronquillo-Ramírez; Alexandra Arias-Mendoza
Journal:  Arch Cardiol Mex       Date:  2020-11-11
  2 in total

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