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Potential Diagnostic Biomarkers for Aortic Dissection in the Emergency Department

Recruiting
Conditions
Aortic Dissection
Registration Number
NCT06065306
Lead Sponsor
Chinese University of Hong Kong
Brief Summary

The goal of this observational study is to determine the utility of desmosine, D-dimer and aggrecan as early diagnostic biomarkers in aortic dissection. The main questions it aims to answer are:

* To investigate the plasma levels of selected biomarkers in ED patients with confirmed aortic dissection

* To study the diagnostic performance of plasma levels of selected biomarkers for aortic dissection

* To study the association between plasma levels of selected biomarkers and clinical outcomes

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
47
Inclusion Criteria
  • Age ≥ 18 years

  • Presentation to the ED with first 24 hours of symptoms suggesting AD, including chest pain, upper back pain, syncope of unknown cause, symptoms of any acute perfusion deficit

  • Confirmed AD

    • the diagnosis of AD adjudicated by an independent expert panel at hospital discharge or death, whichever comes first
    • The expert panel will consist of (1) a specialist in Emergency Medicine and (2) a specialist in Cardiology and (3) a specialist in Cardiothoracic Surgery.
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Exclusion Criteria
  • Age <18 years old
  • Pregnancy
  • Surgery or stenting performed before recruitment
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Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Serum levels of D-Dimer, Aggrecan and DesmosineBlood samples taken preoperatively

Biomarkers :Serum levels of D-Dimer, Aggrecan and Desmosine will be compared in patients with confirmed AD versus age and sex matched healthy controls

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Prince of Wales Hospital

🇭🇰

Sha Tin, NT, Hong Kong

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