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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT03164226
Other study ID # ENDOPAT
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date March 15, 2016
Est. completion date September 15, 2017

Study information

Verified date December 2021
Source University of Monastir
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The objective of this study is to determine the prognostic performance of endothelial function assessment, using endothelial peripheral arterial tonometry (Endo-PAT), associated to TIMI risk score, in patients consulting the emergency department for non-traumatic chest pain. To determine the sensitivity, specificity, negative and positive predictive value of this method that was not previously used for this purpose.


Description:

Chest pain is a frequent reason for consultation in the emergency room, which can be as much as 5 to 10% of consultants. Stratifying the cardiovascular risk for patients consulting for chest pain is sometimes difficult. The endothelium plays a crucial role in maintaining the tone and vascular integrity and in particular the secretion of vasodilator and vasoconstrictor mediators. In most vascular pathologies, this equilibrium will be broken by the attenuation of the vasodilating function of the endothelium. This is called endothelial dysfunction. Several tools for measuring endothelial function have been developed, the main characteristics of which are: noninvasive, reproducible, independent operators, predictive of the disease, safe for subjects, inexpensive and easy to use. In this study we will be interested in digital plethysmography which has shown its effectiveness in: - Screening for cardiovascular risk in asymptomatic subjects. - The risk of a new cardiovascular event in the sick. - Evaluation of the response to certain therapies. Goal of the study : The objective of this study is to to determine the prognostic performance of endothelial function assessment, using endothelial peripheral arterial tonometry (Endo-PAT), associated to TIMI risk score, in patients consulting the emergency department for non-traumatic chest pain. To determine the sensitivity, specificity, negative and positive predictive value of this method that was not previously used for this purpose, hence the originality of this study.


Recruitment information / eligibility

Status Completed
Enrollment 503
Est. completion date September 15, 2017
Est. primary completion date September 15, 2017
Accepts healthy volunteers No
Gender All
Age group 25 Years and older
Eligibility Inclusion Criteria: - Any patient = 25 years consulting for chest pain in the emergency department from 8:00 am to 8:00 pm (for the unavailability of the endopat device during the guard). Exclusion Criteria: - Chest pain of traumatic origin. - Hemodynamic instability. - Myocardial infarction requiring urgent revascularization. - Parkinsonism: tremor problem. - Refusal, communication problem.

Study Design


Related Conditions & MeSH terms


Intervention

Device:
Digital plethysmography in stratifying the cardiovascular risk for patients consulting for chest pain
To verify the contribution of digital plethysmography in stratifying the cardiovascular risk for patients consulting for chest pain

Locations

Country Name City State
Tunisia University hospital of Moastir Monastir

Sponsors (1)

Lead Sponsor Collaborator
University of Monastir

Country where clinical trial is conducted

Tunisia, 

Outcome

Type Measure Description Time frame Safety issue
Primary Prognostic performance of Endo-PAT in predincting major adverse cardiovascular events To determine the sensitivity, specificity, negative and positive predictive value of the Endopat associated to TIMI risk score in the the prediction of major adverse cardiovascular events in patients consulting the emergency department for chest pain 30 days
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