Coronary Calcium Scoring Versus Standard Care for Emergency Department Chest Pain Patients

Montefiore Medicine Academic Health System

Status: Withdrawn

Conditions: Chest Pain

Treatments: Device: Coronary Calcium Scoring; Procedure: Standard Care

Study type: Interventional

Funder types: Other

Identifiers

NCT02828761

2015-4993

Details and patient eligibility

About

This research asks whether coronary calcium scoring, a non-invasive test based on computed tomography scanning, is a better way to diagnose chest pain patients than other currently used methods. Three of four patients will undergo calcium scoring and the remaining patients will receive standard care.

Sex: All

Ages: 21+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• complaint of chest pain or pressure
• intermediate risk by HEART score
• clinical indication for non-invasive cardiac imaging
• free of known coronary artery disease

Exclusion criteria

• hemodynamic instability
• electrocardiogram suggestive of acute ischemia or myocardial infarction
• unremitting chest pain
• serum troponin levels greater than three times the laboratory threshold
• unable to give his/her own written, informed consent
• pregnant women
• weight > 182 kg
• unable to lie supine for scan
• coronary calcium score, coronary CTA or non-contrast thoracic CT within the last year and available for review
• unable to comply with 30 day follow-up

Trial design

Primary purpose: Diagnostic

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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0 participants in 2 patient groups

Coronary Calcium Scoring

Experimental group

Description:

Coronary calcium scoring by multidetector row computed tomography (MDCT).

Treatment:

Device: Coronary Calcium Scoring

Standard Care

Active Comparator group

Description:

Standard evaluation of chest pain patient which often includes immediate non-invasive imaging.

Treatment:

Procedure: Standard Care