Intracoronary and systemic melatonin to patients with acute myocardial infarction: Protocol for the IMPACT trial

Natalie L. Halladin, Sarah Ekeløf Busch, Svend Eggert Jensen, Henrik Steen Hansen, Tomas Zaremba, Jens Aarøe, Jacob Rosenberg, Ismail Gögenur

    Publikation: Bidrag til tidsskriftArtikelForskningpeer review


    Introduction: Ischaemia-reperfusion injury following acute myocardial infarctions (AMI) is an unavoidable consequence of the primary percutaneous coronary intervention (pPCI) procedure. A pivotal mechanism in ischaemia-reperfusion injury is the production of reactive oxygen species following reperfusion. The endogenous hormone, melatonin, works as an antioxidant and could potentially minimise the ischaemia-reperfusion injury. Given intracoronarily, it enables melatonin to work directly at the site of reperfusion. We wish to test if melatonin, as an antioxidant, can minimise the reperfusion injury following pPCI in patients with AMI. Material And Methods: The IMPACT trial is a multicentre, randomised, double-blinded, placebo-controlled study. We wish to include 2 × 20 patients with ST-elevation myocardial infarctions undergoing pPCI within six hours from symptom onset. The primary end-point is the Myocardial Salvage Index assessed by cardiovascular magnetic resonance imaging on day 4 (± 1) after pPCI. The secondary endpoints are high-sensitivity troponin, creatinekinase myocardial band and clinical events. Conclusion: The aim of the IMPACT trial is to evaluate the effect of melatonin on reperfusion injuries following pPCI. Owing to its relatively non-toxic profile, melatonin is an easily implementable drug in the clinical setting, and melatonin has the potential to reduce morbidity in patients with AMI.

    TidsskriftDanish medical journal
    Udgave nummer2
    StatusUdgivet - feb. 2014


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