When is the best time to fix other blocked arteries after a heart attack?
NCT ID NCT07741721
First seen Aug 03, 2026 · Last updated Aug 18, 2026 · Updated 3 times
Summary
This trial is testing the best timing for opening additional blocked arteries in people who have had a severe type of heart attack (STEMI) with multiple blocked vessels. After the main blocked artery is opened, participants are randomly assigned to have the other blockages treated either during the same hospital stay or after discharge. The goal is to see which approach reduces the risk of death, another heart attack, or the need for further procedures.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Percutaneous coronary intervention (PCI) for non-infarct related arteries, performed either during the same hospital stay or after discharge
- What this could lead to
- If successful, this could establish the optimal timing for additional artery-opening procedures in heart attack patients, potentially reducing deaths, repeat heart attacks, and the need for further interventions.
- What could go wrong
- The trial is still recruiting and results are not yet available. The optimal timing may not significantly differ, and there are inherent risks of PCI, such as bleeding, vessel damage, or kidney injury from contrast dye.
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 1,252 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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Jul 2035
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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19 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: * Age ≥19 years * ST-segment elevation myocardial infarction (STEMI): ST-segment elevation ≥ 0.1 mV in at least two contiguous leads, or New-onset left bundle branch block (LBBB) * Primary PCI within 12 h after symptom development * At least 1 non-infarct related artery (non-IRA) with diameter ≥ 2.5 mm and 50% stenosis by visual estimation Exclusion Criteria: * Cardiogenic shock at initial presentation or after infarct-related artery (IRA) treatment * Thrombolysis in myocardial infarction flow at non-IRA ≤ 2 * Severe procedural complications during primary percutaneous coronary intervention that, in the judgement of the operator, preclude study enrollment * Non-IRA lesion unsuitable for percutaneous coronary intervention (PCI) treatment that, in the judgement of the operator, preclude study enrollment * Chronic total occlusion in a non-IRA * History of anaphylaxis to contrast agent * Pregnancy and lactation * Life expectancy \< 1 year * Severe valvular heart disease * History of coronary artery bypass grafting (CABG) or planned CABG * Fibrinolysis therapy prior to admission * Severe asthma
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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
30 sites. 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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Ajou University Hospital
Suwon, South Korea
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Bucheon Sejong Hospital
Bucheon-si, South Korea
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Chonnam National University Hospital
Gwangju, South Korea
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Chosun University Hospital
Gwangju, South Korea
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Chung-Ang University Gwangmyeong Hospital
Gwangmyeong, South Korea
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Chungbuk National University Hospital
Cheongju-si, South Korea
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Chungnam National University Hospital
Daejeon, South Korea
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Daegu Catholic University Medical Center
Daegu, South Korea
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Gwangju Veterans Hospital
Gwangju, South Korea
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Gyeongsang National University Changwon Hospital
Changwon, South Korea
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Gyeongsang National University Hospital
Jinju, South Korea
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Inje University Busan Paik Hospital
Pusan, South Korea
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Inje University Haeundae Paik Hospital
Pusan, South Korea
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Jeju National University Hospital
Jeju City, South Korea
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Jeonbuk National University Hospital
Jeonju, South Korea
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Kangwon National University Hospital
Chuncheon, South Korea
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Keimyung University Dongsan Hospital
Daegu, South Korea
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Koera University Guro Hospital
Seoul, South Korea
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Korea University Anam Hospital
Seoul, South Korea
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Kosin University Gospel Hospital
Pusan, South Korea
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Kwangju Christian Hospital
Gwangju, South Korea
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Kyungpook National University Hospital
Daegu, South Korea
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Presbyterian Medical Center
Jeonju, South Korea
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Pusan National University Hospital
Pusan, South Korea
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Pusan National University Yangsan Hospital
Yangsan, South Korea
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Samsung Changwon Medical Center
Changwon, South Korea
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Soon Chun Hyang University Hospital Cheonan
Cheonan, South Korea
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St. Carollo General Hospital
Suncheon, South Korea
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Yeongnam University Medical Center
Daegu, South Korea
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Yonsei University Health System, Gangnam Severance Hospital
Seoul, South Korea
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