Chest Pain Clinical Trial
Official title:
Providing Patients With Extended Information and Examination Results Immediately After a Diagnostic CT of the Coronary Arteries
Chest pain is a common cause of visits in the Emergency Room and General Practice, and is
most commonly connected as a symptom of coronary disease, as for instance angina pectoris and
acute myocardial infarct. Approximately 75-80% of these patients are not diagnosed with
coronary disease or other cardiac findings. However, many of these patients still report
chest pain and worries about cardiac disease.
This study is based on patients that are referred to a CT-examination of the coronary
arteries on the background of chest pain, where the CT-examination shows normal coronary
arteries.
The study aims to evaluate whether providing an intervention to this group of patients has an
effect on patient satisfaction, patient's worry of cardiac disease and incidence of chest
pain.
The intervention group will be compared with a similar group going through the same
CT-examination, but is receiving the examination result from their regular general
practitioner (RGP), which is considered standard care.
The hypothesis is that patients with chest pain with no coronary findings receiving extended
information before getting the normal examination results experience a better patient
satisfaction than those receiving the examination result from their RGP.
This study is a randomized controlled study. Eligible patients going through a CT-examination
of the heart's coronary arteries, Coronary CT Angiogram (CCTA) will after an informed consent
be randomized into two groups, either the intervention group or standard care.
The intervention consists of extended information regarding the benefits of doing a CCTA,
thereby emphasising the specificity and accuracy of the CCTA's ability to exclude coronary
disease. After this, there will be given an opportunity of a visual go-through and
explanation of CT-images. Then they will be informed of the examination result that shows
normal coronary arteries.
Follow up is planned after one month, six months and twelve months, where the participants
receive the same questionnaire as at baseline to fill out and return. The questionnaire
consists of Seattle Angina Questionnaire and RAND-12, in addition to social demographic and
clinical data, such as sex, height, weight and current medication.
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