Effects of nicorandil on myocardial infarct size in patients with ST-segment elevation myocardial infarction
Xiao-Si Jiang1,2, Li-Chao Tian1,2, Zi-Chao Jiang1
1Department of Cardiology, the First Medical Center of Chinese PLA General Hospital, Beijing, China.
Insights
Perioperative intravenous nicorandil may reduce myocardial infarct size in ST-segment elevation myocardial infarction (STEMI) patients undergoing percutaneous coronary intervention (PCI). The CHANGE study evaluates nicorandil
Area of Science:
- Cardiology
- Pharmacology
Background:
- Nicorandil demonstrates cardioprotective effects.
- Limited research exists on perioperative intravenous nicorandil for ST-segment elevation myocardial infarction (STEMI).
Purpose of the Study:
- To evaluate the efficacy and safety of intravenous nicorandil in reducing myocardial infarct size in STEMI patients undergoing primary percutaneous coronary intervention (PCI).
Main Methods:
- The CHANGE study is a multicenter, prospective, randomized, double-blind, parallel-controlled trial.
- STEMI patients undergoing primary PCI in China are included.
Main Results:
- This section is to be filled once the study is completed.
Conclusions:
- Further evidence is needed to support myocardial protection strategies for STEMI patients with intravenous nicorandil.
Abstract:
Previous studies have shown that nicorandil has a protective effect on cardiomyocytes. However, there is no study to investigate whether perioperative intravenous nicorandil can further reduce the myocardial infarct size in patients with ST-segment elevation myocardial infarction (STEMI) compared to the current standard of percutaneous coronary intervention (PCI) regimen. The CHANGE (China-Admini stration of Nicorandil Group) study is a multicenter, prospective, randomized, double-blind and parallel-controlled clinical study of STEMI patients undergoing primary PCI in China, aiming to evaluate the efficacy and safety of intravenous nicorandil in ameliorating the myocar dial infarct size in STEMI patients undergoing primary PCI and provide evidence-based support for myocardial protection strategies of STEMI patients.
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