NCT02806102

Brief Summary

This study is intended to provide contemporary data on the residual cardiovascular risk in all consecutive patients with acute myocardial infarction, especially in patients who survived stably within one-year after percutaneous coronary intervention. In addition, this study will identify which baseline clinical, angiographic, or treatment factors are associated with residual cardiovascular risk and bleeding events

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
13,000

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Jan 2004

Longer than P75 for all trials

Geographic Reach
1 country

2 active sites

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

January 1, 2004

Completed
12.4 years until next milestone

First Submitted

Initial submission to the registry

May 31, 2016

Completed
20 days until next milestone

First Posted

Study publicly available on registry

June 20, 2016

Completed
8 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 1, 2017

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

February 1, 2018

Completed
Last Updated

July 6, 2016

Status Verified

July 1, 2016

Enrollment Period

13.1 years

First QC Date

May 31, 2016

Last Update Submit

July 3, 2016

Conditions

Outcome Measures

Primary Outcomes (1)

  • Cumulative incidence of cardiovascular events

    Cardiac death, nonfatal myocardial infarction, or nonfatal stroke

    5 years

Secondary Outcomes (12)

  • Cumulative incidence of all-cause death

    5 years

  • Cumulative incidence of cardiac death

    5 years

  • Cumulative incidence of nonfatal myocardial infarction

    5 years

  • Cumulative incidence of nonfatal stroke

    5 years

  • Cumulative incidence of target lesion revascularization

    5 years

  • +7 more secondary outcomes

Other Outcomes (1)

  • Cumulative incidence of cardiovascular events beyond first year after percutaneous coronary intervention

    From 1 year up to 5 years after percutaneous coronary intervention

Study Arms (2)

High-risk

Acute myocardial infarction treated with percutaneous coronary intervention and/or long-term use of dual-antiplatelet therapy and have at least one of the following risk factors: * Age ≥ 65 years * Diabetes mellitus requiring medication * Documented history of a second prior presumed spontaneous MI (\>1 year ago) * Documented history of angiographic evidence of multivessel coronary artery disease * Chronic, non-end stage renal dysfunction

Procedure: Percutaneous coronary interventionDrug: Dual-antiplatelet therapy

Low-risk

Acute myocardial infarction treated with percutaneous coronary intervention and/or long-term use of dual-antiplatelet therapy and have none of the pre-specified risk factors

Procedure: Percutaneous coronary interventionDrug: Dual-antiplatelet therapy

Interventions

Percutaneous coronary intervention

Also known as: PCI
High-risk

Dual AntiPlatelet Therapy

Also known as: DAPT
High-risk

Eligibility Criteria

Age20 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Acute myocardial infarction who were treated with percutaneous coronary intervention

You may qualify if:

  • Acute myocardial infarction who were treated with percutaneous coronary intervention using stents

You may not qualify if:

  • Acute myocardial infarction who were treated with only balloon angioplasty
  • Acute myocardial infarction who were managed by conservative strategy

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Chonnam National University Hospital

Gwangju, South Korea

RECRUITING

Seoul St. Mary's Hospital, The Catholic University of Korea

Seoul, South Korea

RECRUITING

Related Publications (9)

  • Kim SH, Lee W, Choo EH, Lee KY, Hwang BH, Choi IJ, Lee JM, Yoo KD, Park MW, Park CS, Kim HY, Kim MC, Ahn Y, Chang K. Long-term outcomes of premature acute myocardial infarction: impact of multivessel disease. Coron Artery Dis. 2026 Jan 20. doi: 10.1097/MCA.0000000000001613. Online ahead of print.

  • Kim SH, Choo EH, Kang J, Lee JM, Yoo KD, Park MW, Park CS, Kim HY, Kim MC, Ahn Y, Chang K, Kim HS. The efficacy and safety of prasugrel in acute coronary syndrome: a propensity-matched Korean cohort study focused on age and weight of patients. BMC Cardiovasc Disord. 2025 Nov 26;25(1):888. doi: 10.1186/s12872-025-05263-w.

  • Kim S, Lee KY, Kim KA, Byeon J, Shin S, Hwang BH, Kim JJ, Choo EH, Kim CJ, Kyoung Sa Y, Park MW, Hyun S, Yoon AH, Ahn Y, Chang K. The role of serum uric acid in survival prediction in patients with acute myocardial infarction accompanied by heart failure with preserved ejection fraction. Front Cardiovasc Med. 2025 Nov 10;12:1622275. doi: 10.3389/fcvm.2025.1622275. eCollection 2025.

  • Kim KA, Kim SH, Lee KY, Yoon AH, Hwang BH, Choo EH, Kim JJ, Choi IJ, Kim CJ, Lim S, Park MW, Yoo KD, Jeon DS, Ahn Y, Jeong MH, Chang K. Predictors and Long-Term Clinical Impact of Heart Failure With Improved Ejection Fraction After Acute Myocardial Infarction. J Am Heart Assoc. 2024 Aug 20;13(16):e034920. doi: 10.1161/JAHA.124.034920. Epub 2024 Aug 19.

  • Lee M, Lee K, Kim DW, Cho JS, Kim TS, Kwon J, Kim CJ, Park CS, Kim HY, Yoo KD, Jeon DS, Chang K, Kim MC, Jeong MH, Ahn Y, Park MW. Comparative Effectiveness of Long-Term Maintenance Beta-Blocker Therapy After Acute Myocardial Infarction in Stable, Optimally Treated Patients Undergoing Percutaneous Coronary Intervention. J Am Heart Assoc. 2023 Aug;12(15):e028976. doi: 10.1161/JAHA.122.028976. Epub 2023 Jul 26.

  • Kim HY, Mok J, Kim JY, Jeon D, Her SH, Park MW, Kim DB, Park CS, Lee JM, Chang K, Jung WS, Ahn Y. Effect of Angiotensin Receptor Blocker Dose in Myocardial Infarction With Preserved Left Ventricular Systolic Function. J Cardiovasc Pharmacol. 2023 Jul 1;82(1):52-60. doi: 10.1097/FJC.0000000000001427.

  • Ahn Y, Lee D, Choo EH, Choi IJ, Lim S, Lee KY, Hwang BH, Park MW, Lee JM, Park CS, Kim HY, Yoo KD, Jeon DS, Chung WS, Kim MC, Jeong MH, Ahn Y, Chang K. Association Between Bleeding and New Cancer Detection and the Prognosis in Patients With Myocardial Infarction. J Am Heart Assoc. 2022 Nov 15;11(22):e026588. doi: 10.1161/JAHA.122.026588. Epub 2022 Nov 8.

  • Cho KH, Kim MC, Choo EH, Choi IJ, Lee SN, Park MW, Park CS, Kim HY, Kim CJ, Sim DS, Kim JH, Hong YJ, Jeong MH, Chang K, Ahn Y. Impact of Low Baseline Low-Density Lipoprotein Cholesterol on Long-Term Postdischarge Cardiovascular Outcomes in Patients With Acute Myocardial Infarction. J Am Heart Assoc. 2022 Sep 6;11(17):e025958. doi: 10.1161/JAHA.122.025958. Epub 2022 Aug 24.

  • Lee M, Lee K, Kim DW, Cho JS, Kim TS, Kwon J, Kim CJ, Park CS, Kim HY, Yoo KD, Jeon DS, Chang K, Kim MC, Jeong MH, Ahn Y, Park MW. Relationship of Serial High-Sensitivity C-Reactive Protein Changes to Long-term Clinical Outcomes in Stabilised Patients After Myocardial Infarction. Can J Cardiol. 2022 Jan;38(1):92-101. doi: 10.1016/j.cjca.2021.10.007. Epub 2021 Nov 2.

MeSH Terms

Conditions

Hemorrhage

Interventions

Percutaneous Coronary Intervention

Condition Hierarchy (Ancestors)

Pathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Endovascular ProceduresVascular Surgical ProceduresCardiovascular Surgical ProceduresSurgical Procedures, OperativeMinimally Invasive Surgical Procedures

Study Officials

  • Kiyuk Chang, MD, PhD

    Seoul St. Mary's Hospital

    PRINCIPAL INVESTIGATOR
  • Youngkeun Ahn, MD, PhD

    Chonnam National University Hospital

    STUDY DIRECTOR

Central Study Contacts

Kiyuk Chang, MD, PhD

CONTACT

Youngkeun Ahn, MD, PhD

CONTACT

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Target Duration
5 Years
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Chief of the Division of Cardiology

Study Record Dates

First Submitted

May 31, 2016

First Posted

June 20, 2016

Study Start

January 1, 2004

Primary Completion

February 1, 2017

Study Completion

February 1, 2018

Last Updated

July 6, 2016

Record last verified: 2016-07

Locations