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Screening of Non-Cardiac Chest Pain Patients in the Emergency Department

Screening for gastroesophageal and musculoskeletal conditions in non-cardiac chest pain patients in the emergency department

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
CTRI
Registry ID
CTRI/2020/06/025509
Enrollment
150
Registered
2020-06-01
Start date
Unknown
Completion date
Unknown
Last updated
2021-11-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: K21- Gastro-esophageal reflux disease Health Condition 2: K22- Other diseases of esophagus Health Condition 3: M708- Other soft tissue disorders related to use, overuse and pressure Health Condition 4: M248- Other specific joint derangements,not elsewhere classified

Interventions

None listed

Sponsors

Manipal College of Health Professions Manipal Academy of Higher Education
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: Both Males and Females, Patients of age 18 years and above, Patients presenting to the Emergency Department with Chest Pain and diagnosed as Non-Cardiac Chest Pain by the Cardiologist or Emergency Physician

Exclusion criteria

Exclusion criteria: 1.A rise and/or fall pattern of Cardiac Troponin I and Cardiac Troponin C values with at least 1 value above the 99th Percentile Upper Reference Limit indicating Myocardial Injury 2.Acute Myocardial Infarction indicated by presence of acute myocardial injury with clinical evidence of acute myocardial ischemia and with detection of a rise and/or fall of Cardiac Troponin values with at least 1 value above the 99th percentile Upper Reference Limit, and at least 1 of the following: A.Symptoms of myocardial ischemia B.New ischemic ECG changes (a)New ST-elevation at the J-point in 2 contiguous leads with the cut-point: more than or equal to 1 mm in all leads other than leads V2 â??V3 where the following cut-points apply: more than or equal to 2 mm in men more than or equal to 40 years; more than or equal to 2.5 mm in men less than 40 years or more than or equal to 1.5 mm in women regardless of age (b)New horizontal or downsloping ST-depression more than or equal to 0.5 mm in 2 contiguous leads and/or T inversion more than 1 mm in 2 contiguous leads with prominent R wave or R/S ratio more than 1. C.Development of pathological Q waves on ECG D.Echocardiogram showing new loss of viable myocardium or new regional wall motion abnormality in a pattern consistent with an ischemic etiology E.Identification of a coronary thrombus by angiography or autopsy 3.History of Trauma to the Thorax 4.History of Spinal Surgery 5.Patients diagnosed with Alzheimerâ??s Disease and Dementia

Design outcomes

Primary

MeasureTime frame
1. Gastro-Esophageal Reflux Disease Questionnaire (GERDq) 2. Brief Esophageal Reflux Disease Questionnaire (BEDQ) 3. Pressure Pain Threshold using Pressure Algometer 4. Muscle Length Testing with Vernier Calliper 5. Joint Play Assessment 6. Range of Motion Assessment using Dual Bubble InclinometerTimepoint: Baseline

Secondary

MeasureTime frame
NilTimepoint: Nil

Countries

India

Contacts

Public ContactDr V Prem

Manipal College of Health Professions

prem.v@manipal.edu9886647732

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026