ID
12469
Beskrivning
Clinical decision units (CDUs) improve resource utilization and are a recommended care option by the American College of Cardiology / American Heart Association, but are underutilized in non-low risk chest pain patients due to weaknesses of traditional cardiac testing. Cardiac magnetic resonance imaging (CMR) is sensitive and specific for ischemia, can simultaneously assess cardiac function and myocardial perfusion, and could revolutionize the diagnostic process for intermediate risk patients with chest pain. The primary objective of this trial is to measure the efficiency and safety of a combined CDU-CMR care pathway compared to inpatient care among patients with non-low risk acute chest pain. https://clinicaltrials.gov/ct2/show/NCT01035047
Länk
https://clinicaltrials.gov/ct2/show/NCT01035047
Nyckelord
Versioner (2)
- 2015-07-28 2015-07-28 -
- 2015-11-21 2015-11-21 -
Uppladdad den
21 november 2015
DOI
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Licens
Creative Commons BY 4.0
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Eligibility Chest Pain Diagnostic Acute Coronary Syndrome NCT01035047
Eligibility Criteria
- StudyEvent: ODM
Beskrivning
Exclusion criteria
Beskrivning
Elevated cardiac biomarkers
Datatyp
boolean
Alias
- UMLS CUI-1
- C0741921
Beskrivning
New ST-segment elevation on any electrocardiogram (>/= 1 mV)
Datatyp
boolean
Alias
- UMLS CUI-1
- C0520886
Beskrivning
New ST-segment depression on any electrocardiogram (>/= 2 mV)
Datatyp
boolean
Alias
- UMLS CUI-1
- C0520887
Beskrivning
Known inducible cardiac ischemia without subsequent revascularization
Datatyp
boolean
Alias
- UMLS CUI-1
- C0151744
Beskrivning
Unable to lie flat
Datatyp
boolean
Alias
- UMLS CUI [1]
- C1717946
Beskrivning
Symptomatic hypotension at the time of enrollment (systolic < 90 mm Hg)
Datatyp
boolean
Alias
- UMLS CUI-1
- C0020649
Beskrivning
Contra-indications to MRI (examples: Pacemaker, defibrillator, cerebral aneurysm clips, metallic ocular foreign body, implanted devices, severe claustrophobia)
Datatyp
boolean
Alias
- UMLS CUI [1,1]
- C0024485
- UMLS CUI [1,2]
- C0522473
Beskrivning
Terminal diagnosis with life expectancy less than 3 months
Datatyp
boolean
Alias
- UMLS CUI-1
- C0679247
Beskrivning
Currently Pregnant
Datatyp
boolean
Alias
- UMLS CUI-1
- C0549206
Beskrivning
Creatinine clearance < 45 ml/min at the time of enrollment or clinical concern for acute kidney injury
Datatyp
boolean
Alias
- UMLS CUI-1
- C0373595
Beskrivning
Chronic liver disease with a creatinine clearance of <60 ml/min at the time of enrollment
Datatyp
boolean
Alias
- UMLS CUI-1
- C0085605
Beskrivning
Hepato-renal syndrome
Datatyp
boolean
Alias
- UMLS CUI-1
- C0019212
Beskrivning
History of liver transplant
Datatyp
boolean
Alias
- UMLS CUI-1
- C0023911
Beskrivning
History of heart transplant
Datatyp
boolean
Alias
- UMLS CUI-1
- C0018823
Beskrivning
History of kidney transplant
Datatyp
boolean
Alias
- UMLS CUI-1
- C0022671
Beskrivning
Confirmed angioplasty
Datatyp
boolean
Alias
- UMLS CUI-1
- C0190211
Beskrivning
Confirmed stent placement within the last 6 months
Datatyp
boolean
Alias
- UMLS CUI-1
- C3272316
Beskrivning
Confirmed coronary artery bypass grafting (CABG) within the last 6 months
Datatyp
boolean
Alias
- UMLS CUI-1
- C0010055
Similar models
Eligibility Criteria
- StudyEvent: ODM
C0522473 (UMLS CUI [1,2])