Low-Risk Chest Pain Echo Study

University of Kansas

Status: Not yet enrolling

Conditions: Chest Pain

Treatments: Diagnostic Test: Point-of-Care Echocardiogram

Study type: Interventional

Funder types: Other

Identifiers

NCT05785923

STUDY00149603

Details and patient eligibility

About

Pilot study to assess if a bedside point-of-care echocardiogram performed on emergency department patients identified as low-risk chest pain prior to discharge significantly changes patient disposition or follow up instructions.

Enrollment: 70 estimated patients

Sex: All

Ages: 18 to 100 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Adults presenting to the emergency department with an isolated chief complaint of chest pain with a HEART score of 3 or less
• Emergency physician of record has decided to discharge this patient from the Emergency Department

Exclusion criteria

• Patients who are unable to consent for themselves
• History of cardiac transplant or LVAD
• Pediatric patients
• Patients presenting with multiple complaints in addition to chest pain
• Echocardiogram already performed on patient during usual care
• Patients with another non-cardiac admittable diagnosis
• HEART score greater than or equal to 4

Trial design

Primary purpose: Diagnostic

Allocation: Randomized

Interventional model: Single Group Assignment

Masking: None (Open label)

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70 participants in 2 patient groups

Echo Arm

Experimental group

Description:

Chest pain patients identified by their treating physician as being low-risk chest pain will undergo a point-of-care echocardiogram performed by a trained emergency medicine attending or resident prior to discharge from the emergency department. The physician of record will review this ultrasound and it will be documented whether the findings on the ultrasound changed the physician of record's disposition decision for the patient or the follow up instructions or medications.

Treatment:

Diagnostic Test: Point-of-Care Echocardiogram

Usual Care

No Intervention group

Description:

Chest pain patients identified by their treating physician as being low-risk chest pain will receive the usual care for their condition.