Air Pollution, Inflammation and Acute Coronary Syndrome (AIRACOS)
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Purpose
The objectives of this study are: 1) To determine whether patients with acute coronary syndrome, the level of environmental exposure to particulate air pollutants in the week prior to admission, are related to concentrations of inflammatory molecules and oxidative stress. 2) To investigate whether the level of environmental exposure is an independent prognostic factor in terms of overall and cardiovascular mortality, myocardial infarction or unstable angina at 30 days, 6 and 12 months.
| Condition | Intervention |
|---|---|
|
Patients With Acute Coronary Syndrome |
Other: Particulate air pollutants |
| Study Type: | Observational [Patient Registry] |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Target Follow-Up Duration: | 360 Days |
| Official Title: | Impact of AIR Pollution on Inflammation, Oxidative Stress and 1-year Prognosis in Patients Hospitalized for Acute COronary Syndrome |
- Impact of air pollution on inflammation, oxidative stress and 1-year prognosis in patients hospitalized for acute coronary syndrome. [ Time Frame: 7 days ] [ Designated as safety issue: Yes ]A single center, cohort of consecutive patients admitted with diagnosis of acute coronary syndrome in the cardiology unit of a tertiary hospital, which will quantify the exposure of particulate air pollutants 24 hours a day 7 days earlier prior to admission. Also be determined inflammatory molecules and oxidative stress in admission.
- Impact of air pollution on inflammation, oxidative stress and 1-year prognosis in patients hospitalized for acute coronary syndrome. [ Time Frame: 1 year ] [ Designated as safety issue: Yes ]During the evolution of these patients, after 30 days, 6 and 12 months will recorded major adverse cardiovascular events. It also will quantify the exposure of air pollutant particles in all patients included, at 30 days, 6 and 12 months.
- Impact of air pollution on inflammation, oxidative stress and 1-year prognosis in patients hospitalized for acute coronary syndrome: [ Time Frame: 1 year ] [ Designated as safety issue: Yes ]During the evolution of these patients, after 30 days, 6 and 12 months will recorded major adverse cardiovascular events. It also will quantify the exposure of air pollutant particles in all patients included, at 30 days, 6 and 12 months.
| Estimated Enrollment: | 307 |
| Study Start Date: | November 2011 |
| Estimated Primary Completion Date: | July 2014 (Final data collection date for primary outcome measure) |
| Groups/Cohorts | Assigned Interventions |
|---|---|
|
Particulate air pollutants
Cohort of consecutive patients admitted with diagnosis of acute coronary syndrome in the cardiology unit of a tertiary hospital, which will quantify the exposure of particulate air pollutants 24 hours a day 7 days earlier prior to admission.
|
Other: Particulate air pollutants
We will determined the average concentrations of different sizes of particulate matter from 1 day or up to 7 days prior to admission in patients with acute coronary syndrome.
|
Eligibility| Ages Eligible for Study: | 18 Years to 85 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Probability Sample |
Cohort of consecutive patients admitted with diagnosis of aucte coronary, which will quantify the exposure of particulate air pollutants 24 hours a day 7 days earlier prior to admission. Also be determined inflammatory molecules and oxidative stress in admission. During the evolution of these patients, after 30 days, 6 and 12 months will recorded major adverse cardiovascular events. It also will quantify the exposure of air pollutant particles, in all patients included at 30 days, 6 and 12 months.
Inclusion Criteria:
- Patients with acute coronary syndrome
Exclusion Criteria:
- Infectious process and / or local or systemic inflammation in the 15 days before admission.
- Thyrotoxicosis.
- Neoplasms - or any other disease that seriously compromise the prognosis of life and / or generate a systemic inflammatory response.
Contacts and Locations| Spain | |
| Hospital Universitario de Canarias | Recruiting |
| La Laguna, Santa Cruz de Tenerife, Spain, E-38320 | |
| Contact: Alberto Dominguez-Rodriguez, MD, PhD +34 922 679040 adrvdg@hotmail.com | |
| Principal Investigator: Alberto Dominguez-Rodriguez, MD, PhD | |
| Sub-Investigator: Javier Abreu-Afonso | |
| Sub-Investigator: Sergio Rodriguez | |
| Sub-Investigator: Ruben A Juarez-Prera | |
| Sub-Investigator: Eduardo Arroyo-Ucar | |
| Sub-Investigator: Alejandro Jimenez-Sosa | |
| Sub-Investigator: Yenny Gonzalez | |
| Sub-Investigator: Pedro Abreu-Gonzalez | |
| Sub-Investigator: Pablo Avanzas | |
More Information
No publications provided
| Responsible Party: | Enrique Quintero, Alberto Dominguez Rodriguez, Fundación Canaria Rafael Clavijo para la Investigación Biomédica |
| ClinicalTrials.gov Identifier: | NCT01799148 History of Changes |
| Other Study ID Numbers: | AIRACOS, AIRACOS-CANARY ISLANDS |
| Study First Received: | February 23, 2013 |
| Last Updated: | February 25, 2013 |
| Health Authority: | Spain: Comité Ético de Investigación Clínica |
Keywords provided by Fundación Canaria Rafael Clavijo para la Investigación Biomédica:
|
Acute coronary syndrome Air pollution. Inflammation. Oxidative Stress. Prognosis |
Additional relevant MeSH terms:
|
Inflammation Acute Coronary Syndrome Pathologic Processes Myocardial Ischemia Heart Diseases Cardiovascular Diseases |
Angina Pectoris Vascular Diseases Chest Pain Pain Signs and Symptoms |
ClinicalTrials.gov processed this record on May 16, 2013