Genomic Determinants of Outcome in Cardiogenic Shock

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18-80
SponsorBarts & The London NHS Trust

About this trial

The aim of this project is to understand the heterogeneity of both the immune consequences and treatment responses in CS. We will explore this heterogeneity through identification of transcriptomic sub-phenotypes and their association with outcomes, including therapeutic responses.

Eligibility criteria

Qualifiers

Willing to provide informed consent or appropriate consent from a nominated consultee or personal consultee

Presentation within 24 hours of onset of ACS symptoms.

CS can only be secondary to ACS (Type 1 MI STEMI or N-STEMI) or myocarditis

Planned or completed revascularisation of culprit coronary artery

Disqualifiers

Unwilling to provide informed consent.

Echocardiographic evidence (recorded within 90 mins of end of PCI procedure) of mechanical cause for CS: eg ventricular septal defect, LV-free wall rupture, ischaemic mitral regurgitation.

Age <18 and ≥80 years.

Shock from another cause (sepsis, haemorrhagic/hypovolaemic shock, anaphylaxis, etc).

Trial design

Treatments tested in this trial

  • Observational study

Treatment groups

300 Participants
are divided into 5 treatment groups

Sponsors and collaborators

Barts & The London NHS Trust

Lead sponsor

University of Oxford

Collaborator