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Accelerated diagnostic process for selected low risk emergency department (ED) patients with chest pai

Not Applicable
Recruiting
Conditions
on-traumatic chest pain
Non-traumatic chest pain
Cardiovascular - Coronary heart disease
Registration Number
ACTRN12612000990820
Lead Sponsor
Joseph Epstein Centre for Emergency Medicine Research at Western Health
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
1500
Inclusion Criteria

Adult patients presenting to ED with atraumatic chest pain of <24 hours duration

Exclusion Criteria

Clear ECG evidence of ACS
No ECG or biomarker assay within 24 hours of chest pain
Clear alternative diagnosis at initial assessment
Decline consent to followup/ unavailable for followup

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Occurence of major adverse cardiac events defined as prevalent or incident myocardial infarction, death, cardiac arrest or serious arrhythmia or emergent revascularisation.[30 days]
Secondary Outcome Measures
NameTimeMethod
Predictive performance of GRACE Freedom from events score[30 days];Predictive performance of TIMI score for MI[ED diagnosis];Predictive performance of undetectable troponin level at ED presentation for MI[ED diagnosis]
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