跳至主要内容
临床试验/NCT02828761
NCT02828761撤回不适用

A Randomized Controlled Trial of Early Coronary Calcium Scoring and Standard Care in Emergency Department Chest Pain Patients

Montefiore Medical Center2 个研究点 分布在 1 个国家开始时间: 2023年7月1日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
撤回
试验地点
2
主要终点
Major Adverse Cardiovascular Events

研究概览

简要总结

This research asks whether coronary calcium scoring, a non-invasive test based on computed tomography scanning, is a better way to diagnose chest pain patients than other currently used methods. Three of four patients will undergo calcium scoring and the remaining patients will receive standard care.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Diagnostic
盲法
Single (Outcomes Assessor)

入排标准

年龄范围
21 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者
否

入选标准

  • •complaint of chest pain or pressure
  • •intermediate risk by HEART score
  • •clinical indication for non-invasive cardiac imaging
  • •free of known coronary artery disease

排除标准

  • •hemodynamic instability
  • •electrocardiogram suggestive of acute ischemia or myocardial infarction
  • •unremitting chest pain
  • •serum troponin levels greater than three times the laboratory threshold
  • •unable to give his/her own written, informed consent
  • •pregnant women
  • •weight > 182 kg
  • •unable to lie supine for scan
  • •coronary calcium score, coronary CTA or non-contrast thoracic CT within the last year and available for review
  • •unable to comply with 30 day follow-up

研究组 & 干预措施

Coronary Calcium Scoring

Experimental

Coronary calcium scoring by multidetector row computed tomography (MDCT).

干预措施: Coronary Calcium Scoring (Device)

Standard Care

Active Comparator

Standard evaluation of chest pain patient which often includes immediate non-invasive imaging.

干预措施: Standard Care (Procedure)

结局指标

主要结局

Major Adverse Cardiovascular Events

时间窗: 30 days

number of patients with death, non-fatal heart attack, non-fatal stroke, non-fatal cardiac arrest

次要结局

  • Length of Stay(through completion of emergency department stay for each patient, an average of six hours and through completion of hospitalization, an average of two days)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (2)

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