Echocardiography by Non-cardiologist in Early Management of Patients With Chest Pain
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 430
- 主要终点
- Time of patient stay at Emergency Department
研究概览
简要总结
The aim of the study is to find out the benefit of echocardiography, which is performed by a physican without a cardiological or radiological specialty. In this case the echocardiography is used in the first contact with a patient with chest pain of unclear etiology. Possible benefit is rapid risk stratification of acute non-stemi coronary syndromes and differentiation from other serious conditions, such as pulmonary embolism or aortic dissection.
详细描述
Emergent echocardiography is reproducible method providing clinically significant information during primary survey of acute cardiovascular diseases. Possible benefit is the risk stratification of acute non-stemi coronary syndromes and differentiation from other serious conditions, such as pulmonary embolism or aortic dissection.
Step one - Education in Cardiac ultrasound. All physicians involved in ENDEMIC study have to undergo education program of heart ultrasonography. This curriculum fulfills BSE level one requirements. Candidates of this program have to make a defined number of ECHOcardiography studies under supervisor control. Every curriculum is finished by exam.
Step two - FOCUS in clinical practise Patients with chest pain are randomized into two groups by the even-odd rule.
Inclusion Criteria:
Chest pain ( Cardiovascular ethiology possible depends on anamnesis, physical examination and ECG ) Higher age than 18
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
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Chest pain ( Cardiovascular ethiology possible depends on anamnesis, physical examination and ECG )
- •Higher age than 18
排除标准
- •Pacemaker / ICD
- •Pregnancy
- •Performance status 4 ( Zubrod scale )
- •Informed Consent unsigned
- •Prisoners
结局指标
主要结局
Time of patient stay at Emergency Department
时间窗: 24 hours
Time from initial contact with patient to patient discharge or hospital admission (minutes)
次要结局
- Major adverse cardiovascular events(30 days)
- Time of stay at hospital(28 days)
研究者
Petr GRENAR, MD
Principal Investigator
University of Defence, Faculty of Military Health Sciences