NCT02828761
Withdrawn
Not Applicable
A Randomized Controlled Trial of Early Coronary Calcium Scoring and Standard Care in Emergency Department Chest Pain Patients
ConditionsChest Pain
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Chest Pain
- Sponsor
- Montefiore Medical Center
- Locations
- 2
- Primary Endpoint
- Major Adverse Cardiovascular Events
- Status
- Withdrawn
- Last Updated
- 2 years ago
Overview
Brief Summary
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.
Investigators
Eligibility Criteria
Inclusion Criteria
- •complaint of chest pain or pressure
- •intermediate risk by HEART score
- •clinical indication for non-invasive cardiac imaging
- •free of known coronary artery disease
Exclusion Criteria
- •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
Outcomes
Primary Outcomes
Major Adverse Cardiovascular Events
Time Frame: 30 days
number of patients with death, non-fatal heart attack, non-fatal stroke, non-fatal cardiac arrest
Secondary Outcomes
- 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)
Study Sites (2)
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