Diagnostic Performance of Coronary Calcification Detection on CT Scan

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT05538117

Acronym

Calci-DT

Enrollment

300

Registered

2022-09-13

Start date

2022-08-18

Completion date

2023-10-18

Last updated

2023-12-13

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

Conditions

Acute Coronary Syndrome

Keywords

Thoracic pain, Acute coronary event, CT scan, Thoracic scan, Coronary calcifications, Acute Coronary Syndrome

Brief summary

thoracic pain is one of the most frequent reasons for consulting the emergency room. Chest pain can be a sign of different pathologies with a wide range of severity, from life-threatening aortic dissection or myocardial infarction to chest pain during an anxiety attack. Efficient triage of patients is therefore a crucial issue for emergency physicians in order not to ignore an acute coronary event requiring early and specific management. The investigators seek to evaluate whether a diagnostic strategy based on a thoracic CT scan to rule out coronary calcifications and a single troponin assay can exclude an acute coronary event with sufficient accuracy compared to usual management.

Interventions

None listed

Study design

Observational model

CASE_ONLY

Time perspective

RETROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Inclusion criteria

* Adult patient (≥18 years old) * Patient admitted to the emergency room of the Nouvel Hôpital Civil in Strasbourg between 06/01/2021 and 12/31/2021 and presenting with typical chest pain \<30min or atypical symptoms but non-eliminable cardiac origin. * Patient with an initial assessment within the norms (ECG not modified, first troponin negative) and having performed a chest CT scan * Patient who has not expressed his opposition to the reuse of his data for scientific research purposes.

Exclusion criteria

\- Patient who has expressed his opposition to the retrospective reuse of his data for scientific research purposes

Design outcomes

Primary

Measure	Time frame	Description
Ability of scan CT to detect coronary calcifications in patients presenting with thoracic pain to the emergency department	30 minutes after onset of pain	Presence on the scanner of calcifications 30 minutes after onset of pain

Countries

France

Outcome results