New study aims to find best heart attack care for seniors with multiple blockages
NCT ID NCT03772743
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at two ways to treat heart attacks in people aged 75 and older who have several blocked heart arteries. One approach only fixes the artery that caused the heart attack, while the other uses a special test to decide which other blockages to open. The goal is to see which method helps patients live longer and have fewer heart problems. About 1,445 participants are being followed for at least one year.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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1,445 people
The number who actually took part.
- Started
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Jul 2019
- Expected to finish
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Oct 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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75 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Patients ≥75 years AND 2. MI (ST-segment elevation or not ST.segment elevation MI) with indication to invasive management AND 3. Multi-vessel disease defined as at least 1 non-culprit coronary artery lesion at least 2.5 mm in diameter deemed at visual estimation with a diameter stenosis % ranging from 50 to 99% amenable to successful treatment with PCI AND 4. Successful treatment of culprit lesion Exclusion Criteria: 1. Planned surgical revascularization 2. Non-cardiovascular co-morbidity reducing life expectancy to \< 1 year 3. Any factor precluding 1-year follow-up 4. Prior Coronary Artery Bypass Graft (CABG) Surgery 5. Impossibility to identify a clear culprit lesion 6. Non culprit lesion located in the left main
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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AO Cannizzaro
Catania, Italy
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AOU Ferrara
Ferrara, Ferrara, 44124, Italy
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AOU Gaetano Martino
Messina, Italy
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AOU Giaccone
Palermo, Italy
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AOU Integrata di Verona
Verona, Italy
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AOU Sant'Andrea
Roma, Italy
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AOU Sant'Anna e San Sebastiano
Caserta, Italy
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ASP Agrigento
Agrigento, Italy
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Arcispedale Santa Maria Nuova
Reggio Emilia, Reggio Emilia, Italy
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Casa di Cura San Michele Maddaloni
Caserta, Italy
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Centrum Kardiologii Inwazyjnej Elektroterapii i Angiologii
Oświęcim, Poland
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Centrum Kardiologii Inwazyjnej, Elektroterapii i Angiologii
Krosno, Poland
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Centrum Kardiologii Inwazyjnej, Elektroterapii i Angiologii
Nowy Sącz, Poland
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Centrum Kardiologii Inwazyjnej, Elektroterapii i Angiologii
Pińczów, Poland
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Complejo Hospitalario Universitario de Santiago
Santiago de Compostela, Spain
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Complejo Hospitalario de La Coruna
A Coruña, Spain
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Hospital Alvaro Conqueiro de Vigo
Vigo, Spain
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Hospital Clinico San Carlos
Madrid, Spain
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Hospital Clinico Universitario
Valladolid, Spain
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Hospital General Universitario Gregorio Maranon
Madrid, Spain
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Hospital General Universitario de Ciudad Real
Ciudad Real, Spain
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Hospital Universitario La FE
Valencia, Spain
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Hospital Universitario La Paz
Madrid, Spain
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Hospital Universitario Lucus Augusti
Lugo, Spain
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Maria Cecilia Hospital
Cotignola, Ravenna, Italy
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Ospedale Civile di Baggiovara
Modena, Italy
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Ospedale Infermi
Rimini, Rimini, Italy
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Ospedale Maggiore
Bologna, Bologna, Italy
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Ospedale SS Annunziata
Savigliano, Italy
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Ospedale Sant.Andrea
La Spezia, Italy
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Ospedale Santa Croce
Moncalieri, Italy
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Ospedale Santa Maria delle Croci
Ravenna, Ravenna, Italy
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Ospedale Umberto I
Syracuse, Italy
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Ospedale dell'Angelo
Mestre, Italy
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Ospedale della Misericordia
Grosseto, Italy
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Ospedale di Rivoli
Torino, Italy
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Podkarpackie Centrum Interwencji Sercowo-Naczyniowych
Sanok, Poland
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Other studies related to the condition(s) this trial covers.
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- A simple breath test after a heart attack could prevent dangerous bleeding
- A simple ultrasound test may sharpen heart attack risk predictions