Clinical trial Recruiting at 1 site Observational

Long-term changes in left ventricular function after STEMI

Official title: ReModeling in ST-elevation myocARrdial Infarction: a Comparison of Left VEntricuLar Functions in Long-term Follow-up Among STEMI Patients: The MARVEL Study

Run by University of Pisa · NCT07041840 · Data updated 2026-11-12

We will test whether detailed heart imaging and blood tests can track long-term changes in heart structure and function in people who had a STEMI treated with primary PCI.

Quick facts

Study typeObservational
SexAll
Enrollment80 (estimated)
SponsorUniversity of Pisa
Academic / other
Locations1 site (Pisa, Pisa)
StatusRecruiting
StartedJanuary 1, 2024
Main results expectedJanuary 1, 2026
Study endsJanuary 1, 2027
Registry record updatedJuly 17, 2025
Trial IDNCT07041840 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults who had a STEMI treated with primary PCI and who can safely undergo CMR imaging.

Probably not a fit

Patients who cannot have CMR (for example due to incompatible implants or severe claustrophobia) or who have other types of myocardial infarction may not benefit from the protocol.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

Patients with STEMI treated with primary percutaneous coronary intervention were followed prospectively with comprehensive clinical data, serial blood biomarkers (NT-proBNP, troponin, leukocyte count, CRP, IL-1, IL-6), electrocardiography, transthoracic echocardiography at admission and before discharge, and cardiac magnetic resonance imaging before discharge and at six months. CMR was used to characterize intramyocardial hemorrhage, microvascular obstruction, infarct size, area at risk, and salvaged myocardium, while echocardiography provided serial volumetric and ejection fraction measurements. Left ventricular remodeling (LVR) was defined by predefined changes in end-diastolic and end-systolic volumes, sphericity index, new concentric hypertrophy, or a drop in LVEF. The protocol excluded patients with contraindications to CMR and was conducted at the University of Pisa (Cisanello Hospital) with a six-month imaging and laboratory follow-up.

Why it matters

Potential benefit: If successful, this could help clinicians identify patients at risk of adverse remodeling after STEMI so they can tailor follow-up and treatments earlier.

How similar studies have gone: Prior research using serial CMR and echocardiography combined with biomarkers has demonstrated the ability to predict adverse remodeling after STEMI, so this approach builds on established evidence.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* STEMI

Exclusion Criteria:

* Contraindication to CMR imaging

Where it's running

  • University of Pisa, Cisanello Hospital
    Pisa, Pisa, Italy
    Recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.