AI-guided early thrombolysis for people with STEMI
Official title: Early Pre-hospital Thrombolysis Guided by Artificial Intelligence Assisted Mobile Application in Patients With ST-elevation Myocardial Infarction: A Multi-center Cluster Randomized Controlled Trial
Run by Shenyang Northern Hospital · NCT07160491 · Data updated 2026-11-12
This trial tests whether an AI-assisted mobile app can help clinicians give earlier thrombolysis (plus planned PCI) for adults with STEMI who are unlikely to have the lesion opened within 120 minutes.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 80 Years |
| Sex | All |
| Enrollment | 3356 (estimated) |
| Sponsor | Shenyang Northern Hospital Academic / other |
| Locations | 1 site (Shenyang, Liaoning) |
| Status | Recruiting |
| Started | September 8, 2025 |
| Main results expected | July 31, 2029 |
| Study ends | July 31, 2029 |
| Registry record updated | September 18, 2025 |
| Trial ID | NCT07160491 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18–80 with STEMI within 12 hours of symptom onset, chest pain >30 minutes, ST elevation in two or more adjacent leads, and an anticipated inability to achieve guide-wire crossing within 120 minutes who can provide informed consent.
✕Probably not a fit
Patients with contraindications to thrombolysis, cardiac rupture, complete LBBB or ventricular pacing, serious comorbidities, complex heart disease, or other conditions making them unsuitable for trial participation are unlikely to benefit from this intervention.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a cluster-randomized interventional program comparing an AI-assisted mobile application to usual care across participating hospitals and regions in China. The app is used to guide timely thrombolysis combined with coordination for PCI in adults presenting with ST-elevation myocardial infarction within 12 hours of symptom onset. The trial enrolls patients for whom guide-wire passage through the culprit lesion is not expected within 120 minutes of diagnosis and aims to increase pre-hospital and early in-hospital thrombolysis. Outcomes include time from symptom onset to reperfusion and clinical endpoints related to myocardial salvage and complications.
Why it matters
Potential benefit: If successful, the approach could increase early thrombolysis rates, shorten time to reperfusion, and improve clinical outcomes for patients who face PCI delays.
How similar studies have gone: Prior clinical trials support early thrombolysis when timely PCI is not possible, but using an AI-assisted mobile app to coordinate and guide thrombolysis is a novel approach that has not been widely tested in large randomized programs.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * (the following inclusion conditions shall be met at the same time): 1. age: ≥ 18 years and ≤ 80 years; 2. Chest pain lasted for more than 30 min, and the onset time of chest pain was ≤ 12 hours; 3. ECG: ST segment elevation after J-point in 2 or more adjacent leads: limb leads ≥ 0.1 mv or chest leads ≥ 0.2 mv; 4. it is expected that "guide wire passing through the lesion" could not be achieved within 120 min after the diagnosis of STEMI; 5. Signed informed consent . Exclusion Criteria: * (1) Cardiac rupture; (2) Complete left bundle branch block (LBBB) or ventricular pacing; (3) There are contraindications to thrombolysis; (4) Have serious comorbidities; (5) Have complex heart disease; (6) There are situations that are not suitable for clinical trials.
Where it's running
-
No. 83, Wenhua Road, Shenhe District, Shenyang City
Shenyang, Liaoning, China Recruiting
Study contacts
- Study coordinator: Kai Xu, MD,PhD
- Email: xukai2001@sina.com
- Phone: +8615309880917
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Noninvasive Venous Stasis to Help Reperfuse the Heart in STEMI
This study tests whether briefly restricting venous return with a cuff before the usual heart attack treatment helps restore blood flow on its own.
-
Sustained thrombectomy plus PCI versus PCI alone in high thrombus burden STEMI
This trial tests whether adding sustained mechanical thrombectomy to PCI helps patients with STEMI and large clot burden, compared to PCI alone.
-
Antithrombotic options for acute coronary syndrome with coronary artery ectasia
This trial tests whether using rivaroxaban instead of the usual aspirin plus clopidogrel better prevents clot-related complications in adults hospitalized with acute coronary syndrome who have coronary artery ectasia.
-
Prehospital pulse-dose methylprednisolone for ST-elevation myocardial infarction
We will test if a single high dose of methylprednisolone given before hospital arrival can reduce heart muscle damage in adults having an ST-elevation heart attack.
-
Epicardial fat CT in patients after heart attack
This trial will test whether dapagliflozin or semaglutide reduces epicardial (around-the-heart) fat over 12 months in adults hospitalized with ST-elevation or non‑ST‑elevation myocardial infarction.
-
Registry evaluating SuperSaturated Oxygen Therapy for heart attack treatment
This study is testing whether SuperSaturated Oxygen Therapy can help people who have had a heart attack feel better compared to standard treatments.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.