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management of acute myocardial infarction.",null,{"label":14,"type":15,"description":16,"interventionNames":17},"Fast discharge strategy","EXPERIMENTAL","Fast discharge at 24 (+\u002F-12) hours after invasive management of acute myocardial infarction.",[18],"Procedure: Fast discharge strategy",[20],{"type":21,"name":14,"description":22,"armGroupLabels":23,"otherNames":12},"PROCEDURE","Patients undergoing invasive management after myocardial infarction will be discharged after 24 (+\u002F- 12) hours.",[14],[25,28],{"name":26,"affiliation":5,"role":27},"Martin Reindl, MD, PhD","PRINCIPAL_INVESTIGATOR",{"name":29,"affiliation":5,"role":27},"Sebastian J Reinstadler, MD, PhD",[31,35],{"name":26,"role":32,"phone":33,"phoneExt":12,"email":34},"CONTACT","+43 512 504 25665","martin.reindl@tirol-kliniken.at",{"name":36,"role":32,"phone":12,"phoneExt":12,"email":37},"Ivan Lechner, MD, 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Massberg","steffen.massberg@med.uni-muenchen.de",{"type":164,"investigatorFullName":12,"investigatorTitle":12,"investigatorAffiliation":12,"oldNameTitle":12,"oldOrganization":12},"SPONSOR","100573287","fast-discharge-after-acute-myocardial-infarction-discharge-mi-100573287",false,"NCT06744322","Fast Discharge After Acute Myocardial Infarction Discharge MI","Fast Discharge After Acute Myocardial Infarction Discharge MI - A Randomized Multicenter Non Inferiority Trial","DISCHARGE-MI","Inclusion Criteria:\n\n* Uncomplicated acute myocardial infarction (NSTEMI and STEMI) diagnosed according to the 2023 acute coronary syndrome guidelines of the ESC\n* Age ≥ 18 years at time of consent\n* Invasive management strategy and in case of PCI successful intervention of the culprit lesion defined by post-interventional TIMI 3 flow\n* Ability to understand and willingness to sign and date written informed consent\n\nExclusion Criteria:\n\n* Myocardial infarction complicated by cardiac arrest (out-of-hospital cardiac arrest\u002Fin-hospital cardiac arrest)\n* PCI-related complications (coronary perforation, side branch closure, inability to deliver stent\u002Fballoon, aortic dissection, allergic reaction grade ≥2, stroke\u002Fthromboembolism, access site complications including pseudoaneurysm, arteriovenous fistula, retroperitoneal hemorrhage and arterial dissection\u002Focclusion or emboli)\n* Malignant arrhythmias including sustained ventricular arrhythmias and persistent bradycardia (\\\u003C 50 beats per minute due to sinus node or atrioventricular conduction system abnormalities, second- \u002Fthird-degree atrioventricular block) after PCI\n* Ongoing hemodynamic instability (systolic blood pressure \\\u003C90 mmHg, elevated lactate concentrations, need for inotropes or vasopressors)\n* Ongoing respiratory instability defined by Killip class \\>I (rales, pulmonary edema)\n* Ongoing quantitative disorders of consciousness (somnolence, sopor, coma)\n* Acute kidney injury defined by Kidney Disease Improving Global Outcomes (KDIGO) stages 2 and 3\n* Pregnancy\n* Untreated critical non-culprit lesions requiring revascularization during index hospitalization not allowing fast discharge\n* Immobility\u002Flimited mobility or social circumstances that prevent fast discharge assessed by an interprofessional care team","ALL","18 Years",{"count":176,"type":177},2070,"ESTIMATED","INTERVENTIONAL",[180],"NA","To evaluate the hypothesis that a fast discharge strategy (discharge at 24 \\[± 12\\] hours) following invasive management for acute myocardial infarction is non-inferior to standard of care (\\>36 hours) with respect to the risk of major adverse cardiovascular events (MACE) during follow-up.",[183],"Acute Myocardial Infarction (AMI)",[185,186,187,188,189],"Myocardial 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