Acute Myocardial InfarctionNCT03297164
Incidence Rate of Heart Failure After Acute Myocardial Infarction With Optimal Treatment
An observational study of Acute Myocardial Infarction and Heart Failure, run by Harbin Medical University at 19 sites in China.
Trial summary
The main purpose of this study is to build a multi-center, prospective and regionally representative acute myocardial infarction(AMI) cohort,and build a study platform for heart failure caused by AMI; To explore the 1 year incidence rate of heart failure after AMI given the optimized treatment and the treatment model… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Acute Myocardial Infarction, Heart Failure
- How many people
- 12,043 participants
- Where
- 19 sitesChina
- Study dates
- 21 Dec 2017to 30 Jun 2021
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: acute myocadial infarction
Who may be able to join
- age≥18 years
- diagnosed acute myocardial infarction
- signed the informed consent form
Who cannot join
- AMI is caused by surgery, trauma, gastrointestinal bleeding or complications of PCI;
- AMI occurred in patients who have been hospitalized for other reasons;
- patients with previous history of chronic heart failure;
- researchers judging that patient's compliance was poor and could not complete the study according to the requirements.
- life expectancy is less than 12 months;
- heart transplant patients;
- patients with tumors;
Trial locations and contacts
19 sites in 1 country.
19 sites in 1 country
China19 sites
Beijing An Zhen Hospital, Capital Medical University
Beijing, Beijing Municipality, 100029
Peking Univerisity People'Hospital
Beijing, Beijing Municipality, 100044
Beijing Chao-Yang Hospital, Capital Medical University
Beijing, Beijing Municipality
Peking University First Hospital
Beijing, Beijing Municipality
The Second Hospital of Jilin University
Changchun, Jilin, 130000
Third Military Medical University
Chongqing, Sichuan
the second affiliated hospital of Dalian medical university
Dalian, Liaoning
Daqing Oilfield General Hospital
Daqing, Heilongjiang, 163001
Guangdong general hospital
Guangzhou, Guangdong
The Second Affiliated Hospital of Nanchang University
Nanchang, Jiangxi, 330006
Zhongda Hospital Southeast University
Nanjing, Jiangsu, 210009
The first affiliated hospital of Guangxi medical university
Nanning, Guangxi, 530021
Shenyang military district general hospital of the people's liberation army
Shenyang, Liaoning
Second hospital of hebei medical university
Shijiazhuang, Hebei
The General Hospital of Tianjin Medical University
Tianjin, Tianjin Municipality
Tianjin Chest Hospital
Tianjin, Tianjin Municipality
The First Affiliated Hospital of Xinjiang Medical University
Ürümqi, Xinjiang
The first affiliated hospital of military medical university
Xi’an, Shanxi
The first affiliated hospital of Zhengzhou medical university
Zhengzhou, Henan
About this study
Official title: One Year Incidence Rate of Heart Failure After Acute Myocardial Infarction With Optimal Treatment-A Prospective,Multicenter,Cohort Study
The main purpose of this study is to build a multi-center, prospective and regionally representative acute myocardial infarction(AMI) cohort,and build a study platform for heart failure caused by AMI; To explore the 1 year incidence rate of heart failure after AMI given the optimized treatment and the treatment model affecting the incidence rate of heart failure, and finally to reduce the incidence rate of heart failure by 5%.
Read the detailed description
the study aim to enroll 12000 acute myocardial infartion (AMI) patients, including ST-segment elevation myocardial infarction (STEMI) and non ST-segment elevation myocardial infarction (NSETMI), Patients were divided into two groups(optimized group and un-optimized group) according to treatment models they accepted in 20 reginally representative hosptials of China. whether optimizaed or not is judged by 4 four aspects,including emergency treatment procedure, pre-infusion medication, reperfusion strategy selection, and early rehabilitation after reperfusion.Patients were followed at 1 month, 6 months and 12 months. The physical condition and clinical events(heart failure, death, re-infarction, revascularization, apoplexy, malignant arrhythmias, bleeding events, other adverse events)were collected at follow up.
- Conditions
- Acute Myocardial Infarction, Heart Failure
- Keywords
- acute myocardial infarction, heart failure, optimized treatment
- Medical subject headings
- Heart Failure
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
| Study group | Role | What they receive |
|---|---|---|
| optimized group | the patients in this group have been given the suggestive treatment from guideline. | |
| un-optimized group | the patients in this group have not been given the suggestive treatment from guideline. |
What is being measured
The primary outcome is the main question the study is designed to answer.
incidence rate of heart failure
incidence rate of heart failure of acute myocardial infarction at 12th month
Measured: 12th month after diacharge
Secondary outcomes (3)
MACCE rate
the major adverse cardiac celebral events including death,reinfarction,
Measured: 12th month after diacharge
bleeding rate
the incidence rate of bleeding
Measured: 12th month after diacharge
severe adverse drug reactions
severe adverse drug reactions at 12th month
Measured: 12th month after diacharge
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 Sep 2017
- Study start21 Dec 2017
- Primary completion4 Dec 2020
- Study completion30 Jun 2021
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (6)Papers the sponsor has linked to this study.
- Other trials for Acute Myocardial InfarctionStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 12,043 participants (actual)
Sponsor and investigators
- Lead sponsor
- Harbin Medical University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Yu Bo, Harbin Medical University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03297164
- Sponsor's protocol ID
- 2016YFC1301101
- Status last verified
- Sep 2021
- First submitted
- 26 Sep 2017
- Last updated
- 1 Oct 2021
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Hou X, Liu J, Zhang J, Wang X, Liu Q, Wang S, Yang X, Zhang Y, Zhang W, Chen S, Sun Y, Wu J. Risk factors and assessment system for cardiogenic death and stroke in patients with premature acute myocardial infarction. Heart Lung. 2026 May-Jun;77:102716. doi: 10.1016/j.hrtlng.2025.102716. Epub 2026 Jan 6.
PubMed 41500028Wu X, Wang S, Cui H, Zheng X, Hou X, Wang Z, Li Q, Liu Q, Cao T, Zheng Y, Wu J, Yu B. Machine learning-based return-to-work assessment system for acute myocardial infarction patients within 12 months. Heart Lung. 2025 Sep-Oct;73:19-25. doi: 10.1016/j.hrtlng.2025.04.020. Epub 2025 Apr 20.
PubMed 40258309Wang J, Li Z, Yang G, Fang C, Yin Y, Zheng Z, Wang H, Fang S, Dai J, Wang S, Yang S, Yu B. Pseudo-targeted metabolic profile differences between emergency patients with type 1 and type 2 myocardial infarction diagnosed by optical coherence tomography. Clin Chim Acta. 2024 Feb 1;554:117745. doi: 10.1016/j.cca.2023.117745. Epub 2024 Jan 6.
PubMed 38185283Lang X, Zhao B, Fang S, Li L, Li Z, Wu N, Zhang Y, Xing L, Li Y, Zhang Y. Higher Peripheral Thyroid Sensitivity Is Linked to a Lower Risk of Heart Failure After Acute Myocardial Infarction. J Clin Endocrinol Metab. 2023 Oct 18;108(11):2950-2960. doi: 10.1210/clinem/dgad240.
PubMed 37104944Zeng M, Zhao C, Bao X, Liu M, He L, Xu Y, Meng W, Qin Y, Weng Z, Yi B, Zhang D, Wang S, Luo X, Lv Y, Chen X, Sun Q, Feng X, Gao Z, Sun Y, Demuyakor A, Li J, Hu S, Guagliumi G, Mintz GS, Jia H, Yu B. Clinical Characteristics and Prognosis of MINOCA Caused by Atherosclerotic and Nonatherosclerotic Mechanisms Assessed by OCT. JACC Cardiovasc Imaging. 2023 Apr;16(4):521-532. doi: 10.1016/j.jcmg.2022.10.023. Epub 2022 Dec 14.
PubMed 36648054Li L, Zhang X, Wang Y, Yu X, Jia H, Hou J, Li C, Zhang W, Yang W, Liu B, Lu L, Tan N, Yu B, Li K. A Novel Risk Score to Predict In-Hospital Mortality in Patients With Acute Myocardial Infarction: Results From a Prospective Observational Cohort. Front Cardiovasc Med. 2022 Apr 7;9:840485. doi: 10.3389/fcvm.2022.840485. eCollection 2022.
PubMed 35463775
Study at a glance
From the registry record, last updated by the sponsor on 1 Oct 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- One Year Incidence Rate of Heart Failure After Acute Myocardial Infarction With Optimal Treatment-A Prospective,Multicenter,Cohort Study
- ClinicalTrials.gov ID
- NCT03297164
- Acronym / sponsor ID
- 2016YFC1301101
- Conditions
- Acute Myocardial Infarction, Heart Failure
- Keywords
- acute myocardial infarction, heart failure, optimized treatment
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 12,043 participants (actual)
- Lead sponsor
- Harbin Medical UniversityUniversity, hospital or other
- Study start
- 21 Dec 2017 (actual)
- Primary completion
- 4 Dec 2020 (actual)
- Study completion
- 30 Jun 2021 (actual)
- First posted
- 29 Sep 2017 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The main purpose of this study is to build a multi-center, prospective and regionally representative acute myocardial infarction(AMI) cohort,and build a study platform for heart failure caused by AMI; To explore the 1 year incidence rate of heart failure after AMI given the optimized treatment and the treatment model affecting the incidence rate of heart failure, and finally to reduce the incidence rate of heart failure by 5%.
Detailed description
the study aim to enroll 12000 acute myocardial infartion (AMI) patients, including ST-segment elevation myocardial infarction (STEMI) and non ST-segment elevation myocardial infarction (NSETMI), Patients were divided into two groups(optimized group and un-optimized group) according to treatment models they accepted in 20 reginally representative hosptials of China. whether optimizaed or not is judged by 4 four aspects,including emergency treatment procedure, pre-infusion medication, reperfusion strategy selection, and early rehabilitation after reperfusion.Patients were followed at 1 month, 6 months and 12 months. The physical condition and clinical events(heart failure, death, re-infarction, revascularization, apoplexy, malignant arrhythmias, bleeding events, other adverse events)were collected at follow up.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| optimized group | – | –the patients in this group have been given the suggestive treatment from guideline. |
| un-optimized group | – | –the patients in this group have not been given the suggestive treatment from guideline. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- acute myocadial infarction
Key inclusion criteria (3 listed)
- age≥18 years
- diagnosed acute myocardial infarction
- signed the informed consent form
Key exclusion criteria (7 listed)
- AMI is caused by surgery, trauma, gastrointestinal bleeding or complications of PCI;
- AMI occurred in patients who have been hospitalized for other reasons;
- patients with previous history of chronic heart failure;
- researchers judging that patient's compliance was poor and could not complete the study according to the requirements.
- life expectancy is less than 12 months;
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
incidence rate of heart failure
Time frame: 12th month after diacharge
incidence rate of heart failure of acute myocardial infarction at 12th month
3 secondary outcomes
MACCE rate
Time frame: 12th month after diacharge
bleeding rate
Time frame: 12th month after diacharge
severe adverse drug reactions
Time frame: 12th month after diacharge
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 1 Oct 2021.
- Derived from this study: PubMed 41500028Hou X, Liu J, Zhang J, Wang X, Liu Q, Wang S, Yang X, Zhang Y, Zhang W, Chen S, Sun Y, Wu J. Risk factors and assessment system for cardiogenic death and stroke in patients with premature acute myocardial infarction. Heart Lung. 2026 May-Jun;77:102716. doi: 10.1016/j.hrtlng.2025.102716. Epub 2026 Jan 6.
- Derived from this study: PubMed 40258309Wu X, Wang S, Cui H, Zheng X, Hou X, Wang Z, Li Q, Liu Q, Cao T, Zheng Y, Wu J, Yu B. Machine learning-based return-to-work assessment system for acute myocardial infarction patients within 12 months. Heart Lung. 2025 Sep-Oct;73:19-25. doi: 10.1016/j.hrtlng.2025.04.020. Epub 2025 Apr 20.
- Derived from this study: PubMed 38185283Wang J, Li Z, Yang G, Fang C, Yin Y, Zheng Z, Wang H, Fang S, Dai J, Wang S, Yang S, Yu B. Pseudo-targeted metabolic profile differences between emergency patients with type 1 and type 2 myocardial infarction diagnosed by optical coherence tomography. Clin Chim Acta. 2024 Feb 1;554:117745. doi: 10.1016/j.cca.2023.117745. Epub 2024 Jan 6.
- Derived from this study: PubMed 37104944Lang X, Zhao B, Fang S, Li L, Li Z, Wu N, Zhang Y, Xing L, Li Y, Zhang Y. Higher Peripheral Thyroid Sensitivity Is Linked to a Lower Risk of Heart Failure After Acute Myocardial Infarction. J Clin Endocrinol Metab. 2023 Oct 18;108(11):2950-2960. doi: 10.1210/clinem/dgad240.
- Derived from this study: PubMed 36648054Zeng M, Zhao C, Bao X, Liu M, He L, Xu Y, Meng W, Qin Y, Weng Z, Yi B, Zhang D, Wang S, Luo X, Lv Y, Chen X, Sun Q, Feng X, Gao Z, Sun Y, Demuyakor A, Li J, Hu S, Guagliumi G, Mintz GS, Jia H, Yu B. Clinical Characteristics and Prognosis of MINOCA Caused by Atherosclerotic and Nonatherosclerotic Mechanisms Assessed by OCT. JACC Cardiovasc Imaging. 2023 Apr;16(4):521-532. doi: 10.1016/j.jcmg.2022.10.023. Epub 2022 Dec 14.
- Derived from this study: PubMed 35463775Li L, Zhang X, Wang Y, Yu X, Jia H, Hou J, Li C, Zhang W, Yang W, Liu B, Lu L, Tan N, Yu B, Li K. A Novel Risk Score to Predict In-Hospital Mortality in Patients With Acute Myocardial Infarction: Results From a Prospective Observational Cohort. Front Cardiovasc Med. 2022 Apr 7;9:840485. doi: 10.3389/fcvm.2022.840485. eCollection 2022.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
19 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Acute Myocardial Infarction and Heart Failure, run by Harbin Medical University at 19 sites in China.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 1 Oct 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 19 sites in China. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
incidence rate of heart failure (time frame: 12th month after diacharge). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03297164, which also lists 6 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Oct 2021.