NCT01384448已完成不适用
A Randomized Trial Comparing Coronary CT Angiography and Stress Echocardiography for Evaluation of Low-to-Intermediate Risk Emergency Department Chest Pain Patients
适应症
干预措施
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 400
- 试验地点
- 2
- 主要终点
- Hospital admission
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Diagnostic
- 盲法
- None
入排标准
- 年龄范围
- 30 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •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
研究组 & 干预措施
Initial Stress Echocardiography
Experimental
干预措施: Stress Echocardiography (Procedure)
Initial Coronary CT Angiography
Experimental
干预措施: Coronary CT Angiography (Procedure)
结局指标
主要结局
Hospital admission
时间窗: 30 days
次要结局
- Emergency Department length of stay(30 days)
- Hospital 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)
研究者
Jeffrey Levsky
Associate Director of Research, Department of Radiology
Montefiore Medical Center
研究点 (2)
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