Oxygen therapy in patients with ST elevation myocardial infarction based on the culprit vessel: results from the randomized controlled SOCCER trial.

Cardiac magnetic resonance imaging High-sensitive troponin T Infarct size Left anterior descending artery Myocardial infarction Myocardial salvage index Myocardium at risk Oxygen Randomized controlled trials ST elevation myocardial infarction

Journal

BMC emergency medicine
ISSN: 1471-227X
Titre abrégé: BMC Emerg Med
Pays: England
ID NLM: 100968543

Informations de publication

Date de publication:
18 02 2020
Historique:
received: 12 06 2019
accepted: 10 02 2020
entrez: 20 2 2020
pubmed: 20 2 2020
medline: 29 12 2020
Statut: epublish

Résumé

Oxygen (O This was a two-center, investigator-initiated, single-blind, parallel-group, randomized controlled trial at the Skåne university hospital, Sweden. A simple computer-generated randomization was used. Patients were either randomized to standard care with O A total of 229 patients were assessed for eligibility, and 160 of them were randomized to the oxygen or air arm. Because of primarily technical problems with the CMRI, 95 patients were included in the final analyses; 46 in the oxygen arm and 49 in the air arm. There were no significant differences between patients with LAD and Non-LAD as culprit vessel with regard to their allocation (oxygen or air) with regards to MSI, MaR, IS and hs-cTnT. The results indicate that the location of the culprit vessel has probably no effect on the role of supplemental oxygen therapy in STEMI patients. Swedish Medical Products Agency (EudraCT No. 2011-001452-11) and ClinicalTrials.gov Identifier (NCT01423929).

Sections du résumé

BACKGROUND
Oxygen (O
METHODS
This was a two-center, investigator-initiated, single-blind, parallel-group, randomized controlled trial at the Skåne university hospital, Sweden. A simple computer-generated randomization was used. Patients were either randomized to standard care with O
RESULTS
A total of 229 patients were assessed for eligibility, and 160 of them were randomized to the oxygen or air arm. Because of primarily technical problems with the CMRI, 95 patients were included in the final analyses; 46 in the oxygen arm and 49 in the air arm. There were no significant differences between patients with LAD and Non-LAD as culprit vessel with regard to their allocation (oxygen or air) with regards to MSI, MaR, IS and hs-cTnT.
CONCLUSION
The results indicate that the location of the culprit vessel has probably no effect on the role of supplemental oxygen therapy in STEMI patients.
TRIAL REGISTRATION
Swedish Medical Products Agency (EudraCT No. 2011-001452-11) and ClinicalTrials.gov Identifier (NCT01423929).

Identifiants

pubmed: 32070283
doi: 10.1186/s12873-020-00309-y
pii: 10.1186/s12873-020-00309-y
pmc: PMC7027294
doi:

Substances chimiques

Troponin T 0

Banques de données

ClinicalTrials.gov
['NCT01423929']
EudraCT
['2011-001452-11']

Types de publication

Journal Article Multicenter Study Randomized Controlled Trial Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

12

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Auteurs

Arash Mokhtari (A)

Department of Clinical Sciences Lund, Cardiology, Lund University, Skåne University Hospital, Lund, Sweden.

Mahin Akbarzadeh (M)

Department of Clinical Sciences Lund, Emergency and Internal Medicine, Lund University, Skåne University Hospital, Akutmottagningen, EA10, SUS Lund, 221 85, Lund, Sweden.

David Sparv (D)

Department of Clinical Sciences Lund, Cardiology, Lund University, Skåne University Hospital, Lund, Sweden.

Pallonji Bhiladvala (P)

Department of Cardiology, Skåne University Hospital, Malmö, Sweden.

Håkan Arheden (H)

Department of Clinical Sciences Lund, Clinical Physiology, Lund University, Skåne University Hospital, Lund, Sweden.

David Erlinge (D)

Department of Clinical Sciences Lund, Cardiology, Lund University, Skåne University Hospital, Lund, Sweden.

Ardavan Khoshnood (A)

Department of Clinical Sciences Lund, Emergency and Internal Medicine, Lund University, Skåne University Hospital, Akutmottagningen, EA10, SUS Lund, 221 85, Lund, Sweden. ardavan.khoshnood@med.lu.se.

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