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

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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.


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
We found this trial at
2
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Bronx, New York 10466
Phone: 718-920-4872
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Bronx, New York 10461
Phone: 718-920-4872
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