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Table 1 Schedule of events for ThyrAMI 2

From: Thyroxine in acute myocardial infarction (ThyrAMI) - levothyroxine in subclinical hypothyroidism post-acute myocardial infarction: study protocol for a randomised controlled trial

 

Pre-screening

Baseline

Randomisation

follow-up

VISIT

 

1A

1B

1C

 

2

3

4

5

6A

6B

6C

7

assessments

Within 24 hours of AMI

7 to 10 days post AMI

Day 0

 

Week 4 (+/− 7 days)

Week 8 (+/− 7 days)

Week 12 (+/− 7 days)

Week 24 (+/− 7 days)

Week 52 (+/− 7 days)

Week 53 (+/− 7 days)

Identification and initial approach (including provision of PIS)

X

            

Eligibility criteria checked

X

            

Written informed consentǂ

 

X

           

Physical examination (height ****, weight, BP, pulse)

 

X

         

X

 

Venepuncture

 

X*

   

X**

X**

X**

X**

  

X*

 

Clinical history (medical history, medication list)

 

X

           

Questionnaires (SF12, MLWHFQ, CES-D) completed

 

X

         

X

 

Safety checks (ECG, pulse oximetry and NYHA assessment

 

X

   

X

X

X

X

  

X

 

Cardiac MRI

  

X

      

X

   

EndoPat, Badimon chamber, VerifyNow and TEG analysis

   

X

      

X

  

Randomisation (after written informed consent obtained) and study drug dispensation

    

X #

        

Study medication prescribed and dispensed (following LT4 dose assessment at visits 2 to 5 only)

     

X

X

X

X

    

Study medication compliance checks

     

X

X

X

X

  

X

 

Concomitant medication

     

X

X

X

X

  

X

 

Adverse events

     

X

X

X

X

  

X

X

Serious adverse events

     

X

X

X

X

  

X

X

  1. X* 20 ml blood: TSH, FT4, FT3, TPO antibodies, Total cholesterol, HDL, Triglycerides, serum BNP, endothelial markers (10 ml gel/gold tube and 10 ml EDTA/purple tube).
  2. X** 5 ml blood: TSH, FT4, FT3 only (gel/gold tube).
  3. Height ****: To be measured at baseline visit only (or could be self-reported if apparatus not available; for example at participant’s home).
  4. Ç‚ After full discussion and answering any questions.
  5. List of Abbreviations:
  6. BP, blood pressure; BTF, British Thyroid Foundation; CES-D, Centre for Epidemiologic Studies Depression Scale; ECG, electrocardiogram; LT4, levothyroxine; MLWHFQ, Minnesota Living With Heart Failure Questionnaire; MRI, magnetic resonance imaging; NYHA, New York Heart Association; PIS, patient information sheet(s); SF12, short-form health survey; TEG, thromboelastography.