Coronary calcium scoring as first-line test to detect and exclude coronary artery disease in GP patients with stable chest pain

Status

Recruiting

Phases

Unknown

Study type

Interventional

Source

NL-OMON

Registry ID

NL-OMON29084

Enrollment

1600

Registered

2019-01-10

Start date

2017-12-15

Completion date

Unknown

Last updated

2024-02-28

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

Conditions

coronary artery disease diagnosis general practitioner

Interventions

The design is a pragmatic cluster randomized trial in which direct access to CT calcium scoring is compared to routine care in patients with chest discomfort. Randomization will take place at GP level

Eligibility

Inclusion criteria

Inclusion criteria: Patients with non-acute chest discomfort, either atypical AP or aspecific chest pain, with indication for further diagnostic testing as determined by the GP

Exclusion criteria

Exclusion criteria: Men under 40 years, women under 45 years Pregnancy Unwilling to provide written informed consent for the individual level outcomes

Design outcomes

Primary

Measure	Time frame
To determine the increase in detection / treatment rate of CAD in GP offices with the calcium score-based strategy, compared to GP offices with the routine care strategy, as measured by number of patients registered for/treated by the CardioVascular Risk factor Management guideline.	—

Secondary

Measure	Time frame
Secondary outcomes include individual-based outcomes such as effectiveness of CAD diagnosis and referral, and the effect of CT calcium scoring on reduction of MACE	—

Contacts

Public ContactRozemarijn Vliegenthart

UMCG

r.vliegenthart@umcg.nl0503616161

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)