A clinical decision tool for rapid assessment of cardiac chest pain.

Not Applicable

Completed

• Conditions: Acute coronary syndrome; Cardiovascular - Coronary heart disease

• Registration Number: ACTRN12611000206921
• Lead Sponsor: Investigator initiated study - Dr Louise Cullen, Senior Staff Specialist

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2011-02-22
• Last Update Posted: 13 January 2020

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 1000

Inclusion Criteria

Patient with symptoms of greater than or equal to 5 minutes consistent with possible ACS (chest discomfort or angina equivalent)
AND/OR
Physician plans to evaluate the patient for potential ACS
AND
Intermediate risk features on QLD CPP

Exclusion Criteria

More than 2 hours since arrival at hopsital.

Patient (or Legal Representative) is unable or unwilling to provide informed consent.

Transfer from other hosptial.

Patient (or Legal Representative) refusal of telephone follow-up or medical record review at 30 days or unlikely to be contactable for follow-up.

Reasearcher does not feel that informed consent is obtainable or that recruitment is apporpriate (e.g. terminal illness).

Pregnant.

Clear alternative non-ACS diagnostic cause for symptoms.

High risk features according to QLD CPP.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Diagnosis of ACS-related events, using the AHA/ACC/ESC/WHO task force universal definition of myocardial infarction. <br>The primary endpoint is adjudicated by cardiologists using all available investigations, telephone follow up calls and clinical notes for 30 day events.[30 days]

Secondary Outcome Measures

Name	Time	Method
The secondary outcome will include a composite outcome of those admitted to hospital for potential ACS. That is, those diagnosed with AMI or ACS on admission or those who have a significant EST finding. This endpoint is adjudicated by cardiologists using all available investigations, telephone follow up calls and clinical notes for 30 day events.[30 days]