Acute Coronary Syndrome Clinical Trial
Official title:
Prospective Multicenter Study for Early Evaluation of Acute Chest Pain
In this study, clinical database and blood sample bank of acute chest pain (ACP) will be established at chest pain center of multi-center hospital. To explore new biomarkers and screen clinical indicators with effective risk stratification and prognostic evaluation for ACP through proteomics technology and statistics methods. Risk stratification and short-term and long-term prognostic evaluation models for high-risk ACP will be established using large data analysis.
In this study, acute chest pain (ACP) patients will be selected from chest pain center of
nine large tertiary hospitals in China from November 1, 2019 to October 31, 2021. All the
selected patients will sign the informed consent.
Patients' characteristics, the first vital signs at the time of consultation, the first
arterial blood gas, complete blood count, coagulation markers, blood biochemical results and
myocardial injury markers, imaging examinations and electrocardiogram will be collected
within 30 minutes at admission. Meanwhile, whole blood and plasma samples will be collected
and stored in - 80 ℃ refrigerator. After diagnosis according to the gold standard examination
or related guidelines, patients will be admitted to different department for standard
treatment. Medication, surgical procedures and complications will be recorded carefully.
Plasma and whole blood will be used to detect proteomics and/or genomics biomarkers
associated with early evaluation of ACP.
Screening early evaluation indicators using novel protein biomarkers and easy-to-obtain
clinical indicators, and establishing evaluation models for high-risk ACP by data analysis
methods. Area under the receiver operating characteristic curves (AUROC), net
reclassification improvement (NRI), integrated discrimination improvement (IDI) and decision
curve analysis (DCA) will be used to evaluate the prediction ability of the model.
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