Can a simple heart pump save lives after a heart attack complication?
NCT ID NCT07267884
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether inserting a heart pump (IABP) early, before severe shock develops, can reduce deaths in patients who develop a hole in the heart after a heart attack. The trial will enroll 100 patients across 5 centers, randomly assigning half to receive the pump within 8 hours plus standard care, and half to standard care alone. The main goal is to see if early pump use lowers the chance of dying within 30 days.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Intra-aortic balloon pump (IABP) - a device inserted into the main artery to help the heart pump blood
- What this could lead to
- If successful, this could show that early IABP use reduces deaths in patients with a hole in the heart after a heart attack, offering a bridge to surgery.
- What could go wrong
- This is a small, early-stage trial (100 patients) and previous larger studies found IABP did not improve survival in similar conditions. The device also carries risks like bleeding or infection.
This is an AI summary of the original study and may miss details. Read our disclaimer.
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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About 100 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Feb 2026
An estimate. Start dates often move.
- Expected to finish
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Oct 2029
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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18 to 75 years
- 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: * Age between 18 and 75 years; * Diagnosed with AMI based on clinical manifestations, electrocardiogram, cardiac troponin markers, etc.; * Diagnosis of MI-VSD by echocardiography; * Patients in stage B according to the SCAI shock stage definition before enrollment, meeting the following conditions: (1) good mental status, (2) warm limbs without cold and clammy feeling, (3) Killip class 2, with the beginning of wet rales at the lung bases, (4) arterial blood lactate ≤ 2mmol/L, (5) normal renal function or mild renal impairment (creatinine increase less than 1.5 times baseline or eGFR decrease ≤ 50%), (6) no use of vasoactive drugs; * Obtain informed consent. Exclusion Criteria: * Age \> 75 years; * Congenital heart disease with ventricular septal defect; * Complications such as free wall rupture, papillary muscle dysfunction, etc.; * Typical cardiogenic shock (SCAI shock stages C-E) before enrollment, any of the following: (1) altered mental status, (2) cold and clammy skin, (3) Killip class 3 or 4, (4) arterial blood lactate \> 2mmol/L, (5) severe liver and kidney function impairment, (6) use of vasoactive drugs to maintain blood pressure; or in shock risk period (stage A); * Chronic end-stage organ dysfunction that is not expected to be suitable for surgical treatment; * Shock caused by other reasons (such as sepsis or hypovolemia); * Patients with an expected life span of less than 12 months; * Aortic valve insufficiency more than grade II, aortic dissection or aneurysm cannot be ruled out; * Difficulty in implanting IABP due to severe peripheral vascular disease or other reasons; * Pregnancy and lactation; * Refusal to sign the informed consent form, disagreement to insert IABP, or no willingness to proceed with further surgical treatment.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Department of Cardiology, Qilu Hospital of Shandong University
Jinan, Shandong, 250012, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- A temporary wire that keeps hearts beating on cue
- AI may spot deadly heart rhythms before they strike
- Antioxidant infusion may shield the heart from reperfusion injury
- Can a temporary heart pump save more lives in cardiogenic shock?
- Can a Community-Based rehab program boost heart recovery after a first attack?
- AI on a simple ECG: a new way to gauge heart attack severity?