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A multicentre, pros...
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Noc, MarkoUniversity Medical Centre Ljubljana
(författare)
A multicentre, prospective, randomised controlled trial to assess the safety and effectiveness of cooling as an adjunctive therapy to percutaneous intervention in patients with acute myocardial infarction : The COOL AMI EU Pivotal Trial
- Artikel/kapitelEngelska2021
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Nummerbeteckningar
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LIBRIS-ID:oai:lup.lub.lu.se:fdfc0a9f-c0cb-47a7-8f71-7964cbc58382
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https://lup.lub.lu.se/record/fdfc0a9f-c0cb-47a7-8f71-7964cbc58382URI
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https://doi.org/10.4244/EIJ-D-21-00348DOI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:art swepub-publicationtype
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Ämneskategori:ref swepub-contenttype
Anmärkningar
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Background: Despite primary PCI (PPCI), ST-elevation myocardial infarction (STEMI) can still result in large infarct size (IS). New technology with rapid intravascular cooling showed positive signals for reduction in IS in anterior STEMI. Aims: We investigated the effectiveness and safety of rapid systemic intravascular hypothermia as an adjunct to PPCI in conscious patients, with anterior STEMI, without cardiac arrest. Methods: Hypothermia was induced using the ZOLL® Proteus™ intravascular cooling system. After randomisation of 111 patients, 58 to hypothermia and 53 to control groups, the study was prematurely discontinued by the sponsor due to inconsistent patient logistics between the groups resulting in significantly longer total ischaemic delay in the hypothermia group (232 vs 188 minutes; p<0.001). Results: There were no differences in angiographic features and PPCI result between the groups. Intravascular temperature at wire crossing was 33.3+0.9°C. Infarct size/left ventricular (IS/LV) mass by cardiac magnetic resonance (CMR) at day 4-6 was 21.3% in the hypothermia group and 20.0% in the control group (p=0.540). Major adverse cardiac events at 30 days increased non-significantly in the hypothermia group (8.6% vs 1.9%; p=0.117) while cardiogenic shock (10.3% vs 0%; p=0.028) and paroxysmal atrial fibrillation (43.1% vs 3.8%; p<0.001) were significantly more frequent in the hypothermia group. Conclusions: The ZOLL Proteus intravascular cooling system reduced temperature to 33.3°C before PPCI in patients with anterior STEMI. Due to inconsistent patient logistics between the groups, this hypothermia protocol resulted in a longer ischaemic delay, did not reduce IS/LV mass and was associated with increased adverse events.
Ämnesord och genrebeteckningar
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Laanmets, PeepNorth Estonia Medical Centre Foundation
(författare)
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Neskovic, Aleksandar N.Belgrade University School of Medicine
(författare)
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Petrović, MilovanInstitute of Cardiovascular Diseases of Vojvodina
(författare)
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Stanetic, BojanUniversity of Banja Luka
(författare)
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Aradi, DanielHeart Center Foundation
(författare)
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Kiss, Robert G.Central Military Hospital, Budapest
(författare)
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Ungi, ImreUniversity of Szeged
(författare)
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Merkely, BélaSemmelweis University
(författare)
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Hudec, Martin
(författare)
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Blasko, Peter
(författare)
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Horvath, IvanUniversity of Pécs
(författare)
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Davies, John R.
(författare)
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Vukcevic, VladanClinical Center of Serbia
(författare)
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Holzer, MichaelMedical University of Vienna
(författare)
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Metzler, BernhardMedical University of Innsbruck
(författare)
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Witkowski, AdamCardinal Wyszynski National Institute of Cardiology
(författare)
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Erglis, AndrejsPaula Stradina Clinical University Hospital
(författare)
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Fister, MisaUniversity Medical Centre Ljubljana
(författare)
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Nagy, GergelyBorsod-Abauj-Zemplen County Central Hospital(Swepub:lu)ge0471na
(författare)
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Bulum, JoskoUniversity Hospital of Infectious Diseases
(författare)
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Edes, IstvanUniversity of Debrecen
(författare)
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Peruga, Jan Z.
(författare)
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Średniawa, BeataMedical University of Silesia
(författare)
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Erlinge, DavidLund University,Lunds universitet,Kardiologi,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Molekylär kardiologi,Forskargrupper vid Lunds universitet,Cardiology,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Molecular Cardiology,Lund University Research Groups,Skåne University Hospital(Swepub:lu)kard-der
(författare)
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Keeble, Thomas R.Anglia Ruskin University
(författare)
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University Medical Centre LjubljanaNorth Estonia Medical Centre Foundation
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:EuroIntervention17:6, s. 466-4731774-024X
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Noc, Marko
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Laanmets, Peep
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Neskovic, Aleksa ...
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Petrović, Milova ...
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Stanetic, Bojan
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Aradi, Daniel
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visa fler...
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Kiss, Robert G.
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Ungi, Imre
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Merkely, Béla
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Hudec, Martin
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Blasko, Peter
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Horvath, Ivan
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Davies, John R.
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Vukcevic, Vladan
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Holzer, Michael
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Metzler, Bernhar ...
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Witkowski, Adam
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Erglis, Andrejs
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Fister, Misa
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Nagy, Gergely
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Bulum, Josko
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Edes, Istvan
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Peruga, Jan Z.
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Średniawa, Beata
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Erlinge, David
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Keeble, Thomas R ...
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