Stress Echocardiography and Heart Computed Tomography (CT) Scan in Emergency Department Patients With Chest Pain
Not Applicable
Completed
- Conditions
- Chest PainAnginaCoronary Artery DiseaseAngina Pectoris
- Registration Number
- NCT01384448
- Lead Sponsor
- Montefiore Medical Center
- Brief Summary
The purpose of this study is to determine whether stress echocardiography or computed tomography (CT) of the heart is better at diagnosing emergency room chest pain patients to select appropriate candidates for hospitalization and further work-up.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 400
Inclusion Criteria
- Presentation to the Emergency Department with chest pain
- Low-to-intermediate risk of coronary disease per Diamond-Forrester criteria
- Free of known coronary artery disease
Exclusion Criteria
- Inability to undergo both stress echo or coronary CT for any reason
- Contraindication to intravenous iodinated contrast
- Dysrhythmia precluding EKG gating
- Heart rate greater than 60 with contraindication to beta blockers
- Administration of beta blockers within the last 12 hours
- Known severe cardiac valvular disease or pulmonary hypertension
- Stress echocardiography, coronary CT or catheterization within the last 6 months
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method Hospital admission 30 days
- Secondary Outcome Measures
Name Time Method Emergency Department length of stay 30 days Estimated cost of initial care 30 days Repeat visits to the Emergency Department 30 days and 1 year Death 30 days and 1 year Non-fatal myocardial infarction 30 days and 1 year Hospital length of stay 30 days
Trial Locations
- Locations (1)
Montefiore Medical Center - Weiler / Einstein Division
🇺🇸Bronx, New York, United States
Montefiore Medical Center - Weiler / Einstein Division🇺🇸Bronx, New York, United States