Assessment of non-cardiac chest pain patients in the emergency department

Not Applicable

• Conditions: Health Condition 1: F48- Other nonpsychotic mental disordersHealth Condition 2: J90- Pleural effusion, not elsewhere classified

• Registration Number: CTRI/2020/04/024954
• Lead Sponsor: Manipal College of Health Professions Manipal Academy of Higher Education

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Last Update Posted: 24 November 2021

Recruitment & Eligibility

• Status: ot Yet Recruiting
• Sex: Not specified
• Target Recruitment: 0

Inclusion Criteria

1. Subjects presenting to the ED with chest pain and being diagnosed as a case

of Non Cardiac Chest Pain by the Emergency Department physician or a

cardiologist.

2. Both males and females

3. Age group- All adults above the age of 18.

4. Subjects who can understand English

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 ischaemia and with detection of a rise and/or fall of cardiac troponin values with atleast 1 value above the 99th percentile upper reference limit and at least 1 of the following:

a) Symptoms of myocardial ischaemia

b) New ischaemic ECG changes- New ST-elevation at the J-point in 2 contiguous leads other than leads V2 and V3 where the following cut

off points apply: >= 2mm in men >=40 years, >=2.5mm in 2 contiguous leads with prominent R waves or R/S ratio >1.

c) New horizontal or downsloping ST-depression >= 0.5mm in 2 contiguous leads and/or T-wave inversion > 1mm in 2 contiguous leads with

prominent R waves or R/S ratio >1.

d) Development of pathological Q waves on ECG.

e) Echocardiogram showing new loss of viable myocardium or new regional wall motion abnormality in a pattern consistent with ischaemic etiology

f) Identification of a coronary thrombus by angiography.

3. History of trauma to the thorax

4. Patients diagnosed with Alzheimers and dementia.

Study & Design

• Study Type: Observational
• Study Design: Not specified