Coronary disease & ACS

Rationale and design for the myocardial ischemia and transfusion (MINT) randomized clinical trial

Am Heart JPublished Design and rationale of a randomised controlled trial

Study context

Population
Patients with acute myocardial infarction (MI) (type 1, 2, 4b or 4c) and hemoglobin <10 g/dLplanned enrolment
Participants
3,500 patients
Planned comparison
Liberal vs restrictive red blood cell (RBC) transfusion strategy
Primary endpoint
Composite of:
  • All-cause death
  • Recurrent MI
Follow-up
30 days following randomization
Methodological detailsmulticentre, 144 centres in the US, Canada, France, Brazil, New Zealand and Australia, Contact at 30 days to assess clinical outcomes and at 180 days to ascertain vital status, Secondary end points: all-cause mortality at 30 days, recurrent adjudicated MI, and composite of all-cause mortality, nonfatal recurrent MI, ischemia-driven unscheduled coronary revascularization (PCI or CABG) or readmission for ischemic cardiac diagnosis within 30 days
  • Multicentre
  • 144 centres in the US, Canada, France, Brazil, New Zealand and Australia
  • Contact at 30 days to assess clinical outcomes and at 180 days to ascertain vital status
  • Secondary end points: all-cause mortality at 30 days, recurrent adjudicated MI, and composite of all-cause mortality, nonfatal recurrent MI, ischemia-driven unscheduled coronary revascularization (PCI or CABG) or readmission for ischemic cardiac diagnosis within 30 days

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

Original publication

Rationale and design for the myocardial ischemia and transfusion (MINT) randomized clinical trial. Am Heart J. Published 20 November 2022. doi:10.1016/j.ahj.2022.11.015

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