ProspEctive First Evaluation in Chest Pain Trial
| Status: | Completed |
|---|---|
| Conditions: | Angina, Cardiology, Pulmonary |
| Therapuetic Areas: | Cardiology / Vascular Diseases, Pulmonary / Respiratory Diseases |
| Healthy: | No |
| Age Range: | 45 - Any |
| Updated: | 4/21/2016 |
| Start Date: | September 2011 |
| End Date: | December 2015 |
ProspEctive Randomized First Evaluation in Chest Pain Trial
The purpose of this study is to determine the best initial test in patients admitted to the
hospital complaining of chest pain.
hospital complaining of chest pain.
Currently, physicians can either choose a stress test or a CT scan of the heart to evaluate
patients admitted with with chest pain. Very little is known about which test provides the
best information to physicians, positively impacts patients medical care, and decreases
future hospital admissions and testing. To study this the investigators are randomizing
patients admitted to our hospital with chest pain to a stress test or coronary CT
angiography. The investigators will then follow these patients for a 2 year period.
patients admitted with with chest pain. Very little is known about which test provides the
best information to physicians, positively impacts patients medical care, and decreases
future hospital admissions and testing. To study this the investigators are randomizing
patients admitted to our hospital with chest pain to a stress test or coronary CT
angiography. The investigators will then follow these patients for a 2 year period.
Inclusion Criteria:
- Patients with chest pain or SOB admitted for rule out acute coronary syndrome
- Age ≥45 years
- EKG non-diagnostic for acute coronary syndrome
- At least 1 set of negative troponin I
Exclusion Criteria:
- Patient with ST elevation myocardial infarction.
- Patients with non-ST elevation myocardial infarction.
- Patients with known CAD.
- Patients with serum creatinine > 1.5.
- Atrial fibrillation or marked irregular heart rhythm.
- Patients in whom heart rate cannot be controlled.
- Patient with allergies to iodinated contrast agents.
- Pregnant women
- Patients unable to give informed consent
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