ACTRN12622000436774招募中未知
A multi-centre, prospective, non-randomised implementation study of incorporating a polygenic risk score into cardiovascular disease Examinations to identify SubClinicAL coronAry arTEry disease (The ESCALATE Study)
适应症
试验速览
- 阶段
- 未知
- 状态
- 招募中
- 入组人数
- 1,000
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Interventional
- 分配方式
- Non-randomised trial
- 主要目的
- Diagnosis
入排标准
- 年龄范围
- 45 Years 至 65 Years(—)
- 性别
- All
入选标准
- •Males aged 45 to 60 years old
- •- Females aged 50 to 65 years old
- •- Eligible for a Medicare rebated cardiovascular disease consultation with a GP, including Heart Health Check MBS Item Numbers 177 or 699
- •- Willingness to undergo the PRS and/or CACS interventions as indicated per the PPP-CAD clinical pathway
- •- At least one (1) prior clinical visit to the GP
- •- Willing and able to provide informed consent by self
排除标准
- •- Conditions placing the individual at clinically determined high risk of CVD, not requiring calculation of Absolute CVD Risk:
- •- Diabetes and age greater than 60 years
- •-Diabetes with microalbuminuria (greater than 20 mcg/min or UACR greater than 2.5 mg/mmol for males, greater than 3.5 mg/mmol for females)
- •- Moderate or severe chronic kidney disease (CKD) (persistent proteinuria or eGFR less than 45mL/min/1.73m2)
- •- Previous diagnosis of familial hypercholesterolaemia
- •- Systolic blood pressure (SBP) greater than or equal to 180mmHg or diastolic blood pressure (DBP) greater than or equal to 110mmHg
- •- Serum total cholesterol greater than 7.5mmol/L
- •- Symptomatic or previously documented CAD
- •- Previous CVD event, including angina, myocardial infarction (MI), percutaneous coronary intervention, coronary artery bypass grafting, ischaemic stroke, transient ischaemic attack, heart failure, or peripheral arterial disease.
- •- Prior mediastinal radiation exposure or therapy
- •- Prior medical diagnosis of rheumatoid arthritis (RA) or systemic lupus erythematosus (SLE)
- •- Patients highly dependent on medical care and unable to provide informed consent
- •- Unable or unwilling to participate in 12-month follow-up
- •- People with cognitive impairment, intellectual disability, or mental illness that prevent them from providing informed consent for themselves.
研究者
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