Actively Recruiting
REmote Cardiac MOnitoring of At-risk SYNCope Patients After Emergency Department Discharge -RCT
Led by Ottawa Hospital Research Institute · Updated on 2025-12-30
580
Participants Needed
1
Research Sites
265 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Syncope (fainting) is a common reason for emergency department (ED) presentation. Fainting can be caused by heart conditions such as irregular heart rhythm (arrhythmia) that can be life-threatening, structural heart problems, or serious conditions not related to the heart. The standard or usual treatment for the majority of patients at-risk for irregular heart rhythm is getting discharged home with no heart rhythm monitoring. If patients receive any monitoring, only Holter monitoring device that records all heart beats for 24 hours to 72 hours will be used. One-third to half of irregular heart rhythm will be identified only after patients are either discharged from the ED or hospitalized in an inpatient unit. One-third to half of irregular heart rhythm will be identified only after patients are either discharged from the ED or hospitalized in an inpatient unit. The study hypothesize that prolonged live cardiac rhythm monitoring (15 days) of at-risk syncope patients, discharged from the ED, will lead to identification of irregular heart rhythm, which can lead to improved patient safety and lower healthcare costs.
CONDITIONS
Official Title
REmote Cardiac MOnitoring of At-risk SYNCope Patients After Emergency Department Discharge -RCT
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Adult patients aged 18 years or older presenting with syncope to a participating emergency department within 24 hours
- Classified as medium (3-5) or high-risk (6 or above) on the Canadian Syncope Risk Score (CSRS)
- Being discharged from the emergency department by the ED or consulting team
- Able and willing to provide written consent for participation
You will not qualify if you...
- Prolonged loss of consciousness lasting more than 5 minutes
- Glasgow Coma Scale less than 15 in patients without dementia, or changed mental status from baseline in patients with dementia
- Witnessed obvious seizure or head trauma before the loss of consciousness
- Unable to provide proper history due to alcohol intoxication or substance use
- Hospitalized during the index emergency department visit with an identified serious underlying cause for syncope
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Trial Site Locations
Total: 1 location
1
The Ottawa Hospital - Civic and General Campuses
Ottawa, Ontario, Canada, K1Y 4E9
Actively Recruiting
Research Team
I
Iris Nguyen, BSc
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
DIAGNOSTIC
Number of Arms
2
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