CTRI/2020/06/025509
Not yet recruiting
未知
Screening for gastroesophageal and musculoskeletal conditions in non-cardiac chest pain patients in the emergency department
Manipal College of Health Professions Manipal Academy of Higher Education0 sites0 target enrollmentTBD
Overview
- Phase
- 未知
- Intervention
- Not specified
- Conditions
- Health Condition 1: K21- Gastro-esophageal reflux diseaseHealth Condition 2: K22- Other diseases of esophagusHealth Condition 3: M708- Other soft tissue disorders related to use, overuse and pressureHealth Condition 4: M248- Other specific joint derangements,not elsewhere classified
- Sponsor
- Manipal College of Health Professions Manipal Academy of Higher Education
- Status
- Not yet recruiting
- Last Updated
- 4 years ago
Overview
Brief Summary
No summary available.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Both Males and Females, Patients of age 18 years and above, Patients presenting to the Emergency Department with Chest Pain and diagnosed as Non\-Cardiac Chest Pain by the Cardiologist or Emergency Physician
Exclusion Criteria
- •1\.A rise and/or fall pattern of Cardiac Troponin I and Cardiac Troponin C values with at least 1 value above the 99th Percentile Upper Reference Limit indicating Myocardial Injury
- •2\.Acute Myocardial Infarction indicated by presence of acute myocardial injury with clinical evidence of acute myocardial ischemia and with detection of a rise and/or fall of Cardiac Troponin values with at least 1 value above the 99th percentile Upper Reference Limit, and at least 1 of the following:
- •A.Symptoms of myocardial ischemia
- •B.New ischemic ECG changes
- •(a)New ST\-elevation at the J\-point in 2 contiguous leads with the cut\-point: more than or equal to 1 mm in all leads other than leads V2 â??V3 where the following cut\-points apply: more than or equal to 2 mm in men more than or equal to 40 years; more than or equal to 2\.5 mm in men less than 40 years or more than or equal to 1\.5 mm in women regardless of age
- •(b)New horizontal or downsloping ST\-depression more than or equal to 0\.5 mm in 2 contiguous leads and/or T inversion more than 1 mm in 2 contiguous leads with prominent R wave or R/S ratio more than 1\.
- •C.Development of pathological Q waves on ECG
- •D.Echocardiogram showing new loss of viable myocardium or new regional wall motion abnormality in a pattern consistent with an ischemic etiology
- •E.Identification of a coronary thrombus by angiography or autopsy
- •3\.History of Trauma to the Thorax
Outcomes
Primary Outcomes
Not specified
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