Acute Coronary Syndrome (ACS) Clinical Trial
Official title:
Myeloperoxidase and Multi-Markers In the Diagnosis of Diagnoses of Acute Coronary Syndrome (MIDAS) - Sample Procurement
The purpose of the study is to procure blood samples from patients who present to the Emergency Department with suspected ACS (Acute Coronary Syndrome).
This is a prospective, multi-center, observational, and sample procurement study of adult
subjects presenting to an Emergency Department (ED) in whom ACS is in the differential
diagnosis. Subjects must present to one of the participating EDs within 6 hours or less from
the time of symptom onset, and must have experienced at least 30 minutes of chest
discomfort. Those ED patients with possible ACS who meet the inclusion/exclusion criteria
will be approached for study enrollment by trained research personnel.
The patient's diagnostic work-up and treatment will continue per the standards of the
treating institution. As indicated by their clinical presentation, all subjects in the study
will have objective cardiac testing for evidence of coronary artery disease (CAD) during or
in close proximity to the index ED visit or hospital admission. For this study, objective
cardiac testing will consist of one of the following tests: exercise treadmill, coronary
angiography, myocardial stress imaging, stress magnetic resonance imaging (MRI), sestamibi
scan, or dobutamine echocardiogram. Cardiac events and procedures, such as
angioplasty-stenting and coronary artery bypass surgery (CABG), will be recorded during the
index ED visit, hospitalization and post-hospital follow-up period. Subjects will have a
30-day and 6-month follow-up contact by phone to collect this information on cardiac events,
procedures, and survival.
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Observational Model: Cohort, Time Perspective: Prospective
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