The QUeensland Accelerated Risk Trial (QUART): Accelerated pathways in the assessment of suspected acute coronary syndrome in the Emergency Department.
- Conditions
- Cardiovascular - Coronary heart diseaseAcute coronary syndromes
- Registration Number
- ACTRN12610000053022
- Lead Sponsor
- Queensland Emergency Medicine Research Foundation
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 1000
Inclusion criteria include all patients who present to the ED with at least 5 minutes of chest pain suggestive of ACS. In accord with American Heart Association (AHA) guidelines, these will include the presence of acute chest, epigastric, neck, jaw or arm pain or discomfort or pressure or breathlessness without apparent non-cardiac source. More general/atypical symptoms (such as fatigue, nausea, vomiting, sweating and faintness) will not be used as inclusion criteria.
Patients who have chest discomfort and in whom the attending staff consider it necessary to perform an electrocardiogram (ECG) for the assessment of possible ACS will be enrolled.
Pregnancy
Patients under the age of 18 years old
Unable or unwilling to consent
Patients for whom follow-up will not be possible either due to lack of contact address or because they will be overseas.
Study & Design
- Study Type
- Observational
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method cardiac death as adjudicated by cardiologists[45 days from index presentation];acute myocardial infarction as adjudicated by cardiologists[45 days from index presentation];revascularization procedure as adjudicated by cardiologists[45 days from index presentation]
- Secondary Outcome Measures
Name Time Method acute coronary syndrome as adjudicated by cardiologists[45 days from index presentation];All cause mortalityas adjudicated by cardiologists[45 days from index presentation]