Usefulness of 64 Slice Multi-Detector Computed Tomography as a First Diagnostic Approach in Acute Chest Pain Patients
- Conditions
- Chest Pains
- Registration Number
- NCT00431886
- Lead Sponsor
- Seoul National University Bundang Hospital
- Brief Summary
The purpose of this study is to determine the usefulness of 64 slice multi-detector computed tomography as a first diagnostic approach in acute chest pain patients in emergency room
- Detailed Description
We prospectively enrolled the patients with acute chest pain who visited ED. Exclusion criteria were myocardial infarction (MI) with ST elevation, unstable vital sign, uncontrolled arrhythmia, renal dysfunction, hypersensitivity to contrast media and pregnancy. Patients were allocated into 3 categories based on history, physical exam, and electrocardiogram: 1) definite angina with uncertainty of regarding MI (high risk), 2) probable angina (intermediate risk), 3) low likelihood of angina (low risk), and then randomized to either receive MDCT immediately (MDCT group), or not (control). We compared diagnostic accuracy, length of stay in ER, admission rate, and major adverse cardiac events (MACE) and clinical diagnosis in 1 month after discharge from ED.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 400
- Acute chest pain patient visiting emergency room
- unstable vital sign
- renal failure
- ST elevation myocardial infarction
- uncontrolled arrhythmia
- hypersensitivity to contrast dye
- clinically no possibility of angina
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method Unnecessary admission rate Admission rate
- Secondary Outcome Measures
Name Time Method MACE Stay time in emergency department Diagnostic accuracy
Trial Locations
- Locations (1)
Seoul National University Bundang hospital
🇰🇷Sungnam-si, Kyungkido, Korea, Republic of