Coronary disease & ACS

Hyperoxemic oxygen therapy in patients with acute anterior myocardial infarction: HOT-AAMI—design and rationale of a randomized trial

Am Heart JPublished multicenter, 1:1 randomized, open-label study

Study context

Population
Patients presenting with anterior ST-elevation myocardial infarction (STEMI) and undergoing successful percutaneous coronary intervention (PCI) of the left anterior descending arteryplanned enrolment (393 events required)
Participants
1,266 patients
Planned comparison
SSO2 therapy on top of standard care vs standard of care alone
Primary endpoint
Composite of all-cause mortality or unplanned heart failure hospital admission or outpatient visit due to heart failure requiring intravenous diuretic therapy
Follow-up
12-48 months
Methodological detailsdesign and rationale, 50 sites in Germany
  • Design and rationale
  • 50 sites in Germany

No results yet. This paper sets out the design of a trial; its results are to come.

Further findings

Sample size calculation

Relative reduction to detect in the primary composite endpoint
25%
Expected yearly event rate in the control group
16%
Mortality
7%
Hospitalization for heart failure
5%
Acute heart failure requiring outpatient treatment
4%
Significance level (2-sided)
0.05
Power
80%
Required events
393
  • Secondary endpoints include cardiovascular mortality, recurrent myocardial infarction, stroke, and quality of life

Original publication

Hyperoxemic oxygen therapy in patients with acute anterior myocardial infarction: HOT-AAMI—design and rationale of a randomized trial. Am Heart J. Published 21 March 2025. doi:10.1016/j.ahj.2025.03.013

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