ACTRN12614000887673招募中未知
The Australian Cooperative National Registry of Acute Coronary care, Guideline Adherence and Clinical Events (CONCORDANCE) - a prospective observational registry of patients admitted to hospital with an acute coronary syndrome (ACS).
适应症
试验速览
- 阶段
- 未知
- 状态
- 招募中
- 入组人数
- 8,000
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Observational
入排标准
- 年龄范围
- 18 Years 至 120 Years（—）
- 性别
- All
入选标准
- •All patients must have symptoms of an ACS plus one of the following: ECG changes, elevated enzymes, previous history of CAD, new documentation of CAD or two features of high risk ACS.
- •Patients are eligible if they present to hospital with symptoms felt to be consistent with acute cardiac ischaemia for >10mins within 24 hours of presentation to hospital plus one of the following: ECG changes; elevated enzymes; documentation of CAD or documentation of 2 or more high risk features for CAD.
- •ECG changes:
- •-transient ST segment elevation of 0.5mm in two or more contiguous leads;
- •-ST segment depression of 0.5mm in two or more contiguous leads
- •-new T wave inversion of 1 mm in two or more contiguous leads
- •-new Q waves (1/3 height of R wave or >0.04 seconds)
- •-new R wave > S wave in lead V1 (posterior MI)
- •-new left bundle branch block
- •Increase in cardiac enzymes:
- •-increase in troponin T above the upper limit of normal;
- •-increase in troponin I above the upper limit of normal;
- •-CK-MB 2x upper limit of the hospitals normal range or if there is no CK-MB available, then total CK greater than the upper limit of normal.
- •Documentation of Coronary Artery Disease:
- •-history of MI, angina, congestive cardiac failure due to ischaemia or resuscitated sudden cardiac death;
- •-history of, or new positive stress test with or without imaging;
- •-prior or new, cardiac catheterisation documenting coronary artery disease;
- •-prior, or new percutaneous coronary artery intervention or coronary artery bypass graft surgery.
- •At least 2 of the following High Risk features:
- •-haemodynamic compromise (BP<90 and HR >100)
- •-left ventricular systolic dysfunction (LVEF<0.40);
- •-presence of known diabetes
- •-documentation of chronic kidney disease (estimated GFR <60mls/min
排除标准
- •The qualifying acute coronary syndrome must not be precipitated or accompanied by a co-morbidity such as trauma or major bleeding and patients already hospitalised for any reason when the ACS develops are not eligible for enrolment in CONCORDANCE.
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