Coronary Calcium Scoring Versus Standard Care for Emergency Department Chest Pain Patients
| Status: | Not yet recruiting |
|---|---|
| Conditions: | Angina, Hospital |
| Therapuetic Areas: | Cardiology / Vascular Diseases, Other |
| Healthy: | No |
| Age Range: | 21 - Any |
| Updated: | 10/14/2018 |
| Start Date: | August 2019 |
| End Date: | April 2023 |
| Contact: | Jeffrey M Levsky, MD, PhD |
| Email: | jlevsky@montefiore.org |
| Phone: | 718-920-4872 |
A Randomized Controlled Trial of Early Coronary Calcium Scoring and Standard Care in Emergency Department Chest Pain Patients
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.
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.
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
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