Cardiovascular Patient Outcomes and Research Team Primary PCI Registry

The primary study endpoint is the composite incidence of death, non-fatal reinfarction and stroke 6 weeks after index myocardial infarction.

Secondary endpoints include:

• composite of death, recurrent non-fatal MI and stroke at hospital discharge and at 6 months
• specific subgroup analyses are planned based on history of diabetes age anterior versus other infarct locations race gender
• incidence of complications including significant bleeding, need for coronary artery bypass surgery, cardiac arrest

Inclusion criteria

• age > 18 years
• ability to give informed consent
• acute myocardial infarction with

• > 30 mins ongoing ischemic cardiac pain at presentation and > 0.1 mv ST-segment elevation in 2 or more contiguous ECG leads or
• new or suspected new Left Bundle Branch Block (LBBB) or
• > 0.1 mv ST-segment depression in V1 and V2 consistent with true posterior infarction
• rescue PCI for failed thrombolytics
• cardiogenic shock - (defined as systolic blood pressure <80 mmHg sustained for more than 30 minutes despite correction of non-myocardial factors (hypovolemia, acidosis, arrhythmia, etc) or requirement for pressors and/or intra-aortic balloon pump (IABP) to sustain systolic blood pressure > 80 mmHg)

Exclusion criteria

• inability to obtain informed consent (surrogate consent may be obtained if approved by your IRB)