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Prevalence and Prognostic Value of Unrecognized Myocardial Injury in Stable Coronary Artery Disease (PUMI) (PUMI)

The recruitment status of this study is unknown. The completion date has passed and the status has not been verified in more than two years.
Verified December 2010 by Uppsala University.
Recruitment status was:  Recruiting
Information provided by:
Uppsala University Identifier:
First received: December 6, 2010
Last updated: December 8, 2010
Last verified: December 2010
This study includes patients with stable coronary artery disease without previously known myocardial infarction, and investigates the prevalence of clinically unrecognized myocardial damage and its prognostic implication.

Stable Angina Pectoris

Study Type: Observational
Study Design: Observational Model: Cohort
Time Perspective: Prospective
Official Title: Prevalence and Prognostic Value of Unrecognised Myocardial Injury in Stable Coronary Artery Disease (PUMI)- a Multicenter, Observational Cohort Study.

Resource links provided by NLM:

Further study details as provided by Uppsala University:

Primary Outcome Measures:
  • Cardiac events defined as a composite of death, resuscitated cardiac arrest, spontaneous acute myocardial infarction and hospitalisation for congestive heart failure or unstable angina. [ Time Frame: 24 months ]

Secondary Outcome Measures:
  • Presence of unrecognized myocardial infarction [ Time Frame: Baseline ]
  • Size and localisation of unrecognized myocardial infarction [ Time Frame: Baseline ]
  • Degree and localization of artherosclerotic lesions at a coronary angiogram [ Time Frame: Baseline ]
  • Procedure related acute myocardial infarction [ Time Frame: 5 years ]
  • Left ventricular mass and dimensions, levels of troponin and other biochemical markers, electrocardiography (ECG), anthropometric data [ Time Frame: Baseline ]
  • Long-term mortality, cardiac mortality and incidence of acute myocardial infarction [ Time Frame: 5 years ]

Biospecimen Retention:   Samples With DNA
Plasma samples for biochemical markers. Whole blood samples for extraction of DNA for genetic analysis.

Estimated Enrollment: 275
Study Start Date: September 2007
Estimated Study Completion Date: March 2013
Estimated Primary Completion Date: March 2013 (Final data collection date for primary outcome measure)
Detailed Description:

A substantial portion of all myocardial infarctions are not clinically recognized, but the myocardial damage can be recognized afterwards e g by magnetic resonance imaging (MRI). This study includes patients with stable coronary artery disease without previously known myocardial infarction, and investigates the prevalence of clinically unrecognised myocardial damage (UMI), and the prognostic value of UMI regarding new cardiac events.

In a subset of the patients, the biologic intra-individual variability of troponin and other biochemical markers will be investigated (substudy protocol).


Ages Eligible for Study:   Child, Adult, Senior
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
Patients with stable coronary artery disease without previously known myocardial infarction or coronary intervention

Inclusion Criteria:

  • symptoms of stable angina pectoris according to the treating physician
  • scheduled for coronary angiography
  • written informed consent

Exclusion Criteria:

  • pathological Q-wave in the 12-lead resting ECG
  • known previous myocardial infarction
  • previous PCI (percutaneous coronary intervention) or CABG (coronary artery bypass graft)
  • history of congestive heart failure
  • anything that contraindicates a MRI investigation (e.g. pacemaker, claustrophobia, intracranial clips)
  • lack of suitability for participation in the trial, for any reason, as judged by the Investigator.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT01257282

Contact: Bertil Lindahl, professor +46 18 611 95 05

Falu Hospital Recruiting
Falun, Sweden, SE - 791 82
Contact: Pär-Lennart Ågren    +46 23 492 000   
Principal Investigator: Pär-Lennart Ågren         
Gävle Hospital Recruiting
Gävle, Sweden, SE - 801 82
Contact: Lars Svennberg    +46 26 154 000   
Principal Investigator: Lars Svennberg         
Linköping University Hospital Not yet recruiting
Linköping, Sweden, SE - 581 85
Contact: Peter Wodlin    +46 10 183 00 00   
Principal Investigator: Peter Wodlin         
Danderyds Hospital Not yet recruiting
Stockholm, Sweden, SE - 182 88
Contact: Pia Lundman    +46 8 65 55 000   
Principal Investigator: Pia Lundman         
Uppsala University Hospital Recruiting
Uppsala, Sweden, SE-751 85
Contact: Bertil Lindahl    +46 18 611 95 05   
Principal Investigator: Bertil Lindahl, professor         
Örebro University Hospital Recruiting
Örebro, Sweden, SE-701 85
Contact: Stella Cizinsky    +46 19 602 10 00   
Principal Investigator: Stella Cizinsky         
Sponsors and Collaborators
Uppsala University
Principal Investigator: Bertil Lindahl, professor Uppsala University
  More Information

Publications automatically indexed to this study by Identifier (NCT Number):
Responsible Party: professor Bertil Lindahl, Uppsala Clinical Research Centre Identifier: NCT01257282     History of Changes
Other Study ID Numbers: U-07-001
Study First Received: December 6, 2010
Last Updated: December 8, 2010

Additional relevant MeSH terms:
Coronary Artery Disease
Myocardial Ischemia
Coronary Disease
Angina, Stable
Angina Pectoris
Heart Diseases
Cardiovascular Diseases
Arterial Occlusive Diseases
Vascular Diseases
Chest Pain
Neurologic Manifestations
Nervous System Diseases
Signs and Symptoms processed this record on May 24, 2017