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临床试验/NCT04400500
NCT04400500已完成不适用

Approaches to Differential Diagnosis and Risk Stratification in Patients Hospitalized With Suspected Acute Coronary Syndrome Without Persistent ST-segment Elevation

National Research Center for Preventive Medicine1 个研究点 分布在 1 个国家目标入组 140 人开始时间: 2020年3月1日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
发起方
入组人数
140
试验地点
1
主要终点
Clinical outcomes

研究概览

简要总结

To evaluate possibilities of rapid differential diagnosis and risk stratification in patients urgently admitted to the CCU with a suspected acute coronary syndrome without persistent ST-segment elevation (NSTEACS).

详细描述

Single centre prospective non-randomised non-comparative study of patients delivered by ambulance and admitted to the CCU with suspected NSTEACS.

Aims of this study are:

  1. To characterize the contingent of patients admitted to the CCU with suspected NSTEACS.
  2. To evaluate possibilities of fast differential diagnosis and risk stratification in patients admitted to the CCU with suspected NSTEACS using clinical data, ECG, biomarker levels (hsTn, NT-proBNP, hsCPR, cardiac FABP) as well as HEART, ADAPT, EDACS, T-MACS, GRACE, ACTION and TIMI scores.
  3. To evaluate the correlation between clinical data, ECG, biomarker levels (hsTn, NT-proBNP, hsCPR, cardiac FABP) as well as HEART, ADAPT, EDACS, T-MACS, GRACE, ACTION and TIMI scores with presence and severity of coronary atherosclerosis in patients admitted to the CCU (intensive care unit) with suspected NSTEACS.

研究设计

研究类型
Observational
观察模型
Cohort
时间视角
Prospective

入排标准

性别
All
接受健康志愿者

入选标准

  • Delivered by ambulance to the CCU with suspected diagnosis "acute coronary syndrome (ACS)".
  • Signed informed consent.

排除标准

  • ACS with persistent ST-segment elevation.
  • Moribund; extremely severe condition on admission with a potentially unfavourable prognosis (cardiogenic shock, coma, cardiac arrest, an urgent need for mechanical ventilation).
  • Overt non-cardiac cause of clinical manifestations at the time of admission (bleeding, pulmonary embolism, aortic dissection, stroke).

结局指标

主要结局

Clinical outcomes

时间窗: 6 monts

Composite of death, (re) infarction, stroke or re-hospitalization

Final diagnosis

时间窗: Up to 1 monts

Final diagnosis - the main reason for urgent hospitalization - according to hospital case history

次要结局

  • Death(6 months.)
  • (re) infarction(Up to 1 monts)
  • Stroke(6 months.)
  • Re-hospitalization(6 months.)

研究者

发起方
National Research Center for Preventive Medicine
申办方类型
Other Gov
责任方
Sponsor

研究点 (1)

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