Chest Pains
Conditions
Keywords
Chest pains, Computed tomography, Emergency
Brief summary
The purpose of this study is to determine the usefulness of 64 slice multi-detector computed tomography as a first diagnostic approach in acute chest pain patients in emergency room
Detailed description
We prospectively enrolled the patients with acute chest pain who visited ED. Exclusion criteria were myocardial infarction (MI) with ST elevation, unstable vital sign, uncontrolled arrhythmia, renal dysfunction, hypersensitivity to contrast media and pregnancy. Patients were allocated into 3 categories based on history, physical exam, and electrocardiogram: 1) definite angina with uncertainty of regarding MI (high risk), 2) probable angina (intermediate risk), 3) low likelihood of angina (low risk), and then randomized to either receive MDCT immediately (MDCT group), or not (control). We compared diagnostic accuracy, length of stay in ER, admission rate, and major adverse cardiac events (MACE) and clinical diagnosis in 1 month after discharge from ED.
Interventions
PROCEDURE64 multi-detector computed tomography
Sponsors
Seoul National University Bundang Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
19 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Acute chest pain patient visiting emergency room
Exclusion criteria
* unstable vital sign * renal failure * ST elevation myocardial infarction * uncontrolled arrhythmia * hypersensitivity to contrast dye * clinically no possibility of angina
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Admission rate | — |
| Unnecessary admission rate | — |
Secondary
| Measure | Time frame |
|---|---|
| Stay time in emergency department | — |
| Diagnostic accuracy | — |
| MACE | — |
Countries
South Korea
Outcome results
None listed