Status:

COMPLETED

Warfarin After Anterior ST-Elevation Myocardial Infarction

Lead Sponsor:

Hamilton Health Sciences Corporation

Conditions:

Myocardial Infarction

Eligibility:

All Genders

18-85 years

Phase:

NA

Brief Summary

Following severe heart attacks involving the front wall of the heart (anterior myocardial infarction), patients are at risk of developing blood clots in the main pumping chamber that can cause a strok...

Detailed Description

Rationale: Left ventricular mural thrombus (LVT) remains a common complication after anterior ST-elevation myocardial infarction (STEMI) with a reported incidence ranging from 12- 17%. Previous studi...

Eligibility Criteria

Inclusion

  • Anterior STEMI
  • An ejection fraction less than 40% as per initial LV angiography or echocardiogram
  • Randomization possible within hospital admission if anticoagulated with no interruption \> 24 hours
  • Patient able and willing to give informed consent to participate in this trial

Exclusion

  • history of intracranial hemorrhage
  • history of GI bleed last 6 months
  • hemoglobin \< 90 g/L
  • platelet count \< 100 x 10exp9/L
  • ischemic stroke last 30 days
  • intracranial tumor or aneurysm
  • significant pericardial effusion
  • severe renal failure (creatinine \> 250 mmol/L).

Key Trial Info

Start Date :

November 1 2006

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

January 1 2008

Estimated Enrollment :

20 Patients enrolled

Trial Details

Trial ID

NCT00662467

Start Date

November 1 2006

End Date

January 1 2008

Last Update

April 21 2008

Active Locations (1)

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1

Hamilton Health Sciences-Hamilton General Hopsital

Hamilton, Ontario, Canada, L8L 2X2