Cardiovascular Patient Outcomes and Research Team Primary PCI Registry

The primary study endpoint is the composite incidence of death, non-fatal reinfarction and
stroke 6 weeks after index myocardial infarction.

Secondary endpoints include:

1. composite of death, recurrent non-fatal MI and stroke at hospital discharge and at 6
months

2. specific subgroup analyses are planned based on history of diabetes age anterior versus
other infarct locations race gender

3. incidence of complications including significant bleeding, need for coronary artery
bypass surgery, cardiac arrest

Inclusion Criteria:

1. age > 18 years

2. ability to give informed consent

3. acute myocardial infarction with

1. > 30 mins ongoing ischemic cardiac pain at presentation and > 0.1 mv ST-segment
elevation in 2 or more contiguous ECG leads or

2. new or suspected new Left Bundle Branch Block (LBBB) or

3. > 0.1 mv ST-segment depression in V1 and V2 consistent with true posterior
infarction

4. rescue PCI for failed thrombolytics

5. cardiogenic shock - (defined as systolic blood pressure <80 mmHg sustained for more
than 30 minutes despite correction of non-myocardial factors (hypovolemia, acidosis,
arrhythmia, etc) or requirement for pressors and/or intra-aortic balloon pump (IABP)
to sustain systolic blood pressure > 80 mmHg)

Exclusion Criteria

1. inability to obtain informed consent (surrogate consent may be obtained if approved by
your IRB)