Status:
COMPLETED
2D Strain Echocardiography for Diagnosing Chest Pain in the Emergency Room
Lead Sponsor:
Technion, Israel Institute of Technology
Conditions:
Chest Pain
Coronary Artery Disease
Eligibility:
All Genders
45+ years
Brief Summary
Background: Chest pain (CP) and suspected heart attack is the second most frequent complaint among patients presenting to the emergency department (ED). Present workup involves in-hospital observation...
Eligibility Criteria
Inclusion
- Patients presenting to the emergency department with chest pain characteristic for ischemia and suspected acute coronary syndrome and at least one of the following:
- Planned emergency department or chest pain unit observation for at least 6 hours
- Hospital or chest pain unit admission for suspected acute coronary syndrome
- Planned coronary CT scan
- Age ≥ 45 years old
- Normal sinus rhythm
- Patient able to give an informed consent
Exclusion
- ST elevation MI (≥ 1mm in at least 2 contiguous leads) or unstable patients requiring urgent care
- Significant (≥ 1mm ST depression in at least 2 contiguous leads) on initial ECG
- Elevated troponin on first examination
- History of previous MI, CABG, significant Q waves on ECG or wall motion abnormality on a previous echo
- Atrial fibrillation or abundant arrhythmia
- CLBBB, Ventricular pacing
- Valvular disease of at least moderate severity
- Cardiomyopathy
- Abnormal septal motion due to right ventricular disease or lung disease
- Technically suboptimal echo study (\> 2 segments of suboptimal quality from apical views)
- Pregnancy
- Inadequate strain tracing
Key Trial Info
Start Date :
September 1 2010
Trial Type :
OBSERVATIONAL
Allocation :
ACTUAL
End Date :
September 1 2014
Estimated Enrollment :
700 Patients enrolled
Trial Details
Trial ID
NCT01163019
Start Date
September 1 2010
End Date
September 1 2014
Last Update
October 28 2014
Active Locations (11)
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1
Ha'Emek Medical Center,
Afula, Israel
2
Soroka University Medical Center
Beersheba, Israel
3
Hillel Yafe Medical Center
Hadera, Israel
4
Lady Davis Carmel Medical Center
Haifa, Israel