About this trial
ST-segment elevation myocardial infarction (STEMI) is an acute condition that accounts for 75% of sudden deaths in adults over 35 years of age and more than half of all cases of chronic heart failure. However, the mechanism of myocardial infarction remains poorly understood. At present, there is no national information system for myocardial infarction, as there is for other diseases such as multiple sclerosis (OFSEP cohort).
The purpose of this cohort is to enable studies and research projects to be carried out on the descriptive epidemiology of myocardial infarction, monitoring of patients undergoing treatment (safety, efficacy), quality of life and functional consequences of infarction, and research into new biological and imaging prognostic biomarkers. Its general objective is to provide researchers, hospital practitioners, medical interns, academics or industrialists with a quality epidemiological tool for research.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age ≥ 18 years
Diagnosis of STEMI defined by ST segment elevation ≥ 0.2 mV in 2 contiguous leads on a 12-lead ECG.
Management in primary ACT
Prior oral informed consent followed by signed informed consent as soon as possible.
Disqualifiers
Diagnosis of STEMI not confirmed on angiography
Inability to give the subject informed information
Lack of coverage by a social security scheme
Obvious contraindication to injected magnetic resonance imaging (claustrophobia, pacemaker, defibrillator, or a metallic body (ferromagnetic), severe renal insufficiency (GFR<30 ml/min), known allergy to the contrast medium ....)
Trial design
Single group
Treatments tested in this trial
MRI
Other intervention1 MRI at 1 month with gadolinium injection
Biocollection
Biological/VaccineBiocollection from blood (H0, H4, H24, H48, 1 month, 1 year), urine (H48) and faecal (initial hospitalisation) samples.
Quality of life questionaries
BehavioralEQ-5D-5L and HAD questionaries at 1 month and 1 year.
Treatment groups
Trial outcomes
Primary outcomes
Research of potential new markers
Biomarkers assays (prognosis and diagnosis) between inclusion and one-year follow-up (H0, H4, H24, H48, M1, M12 since emergency revascularisation)
Secondary outcomes
Calculation of infarct size on MRI
Measurement of reperfusion lesions on MRI (mass in grams)
Pharmacoepidemiology of myocardial infarction.
Description and evolution of patients' medical treatment between hospital discharge and 5 years follow-up.
Events between inclusion and 5 years follow-up
Time to a major adverse cardiovascular event
Sponsors and contacts
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