Clinical Trials Logo

Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT04048733
Other study ID # 2019-01-046
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date July 30, 2019
Est. completion date December 16, 2019

Study information

Verified date October 2020
Source Samsung Medical Center
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

In this study, the investigators compare timely acquirement of 12-lead ECG using patchy-type wireless versus using standard 12-lead ECG system among patient with chest pain in ED. The purpose of this study is to determine the difference of timely acquirement of 12-lead ECG using two different systems and the difference of hospital delay in ED between two groups. The participants were randomly divided into 2 groups: one performing an ECG examination using the standard 12-lead ECG and the other using the patch-type mobile 12-lead ECG.The 12-lead ECG will be taken 2 times serially in every 15 minutes.


Description:

1. research background Electrocardiography (ECG) is the most important diagnostic tool for rapid detection of acute coronary syndrome, and should be performed and interpreted promptly on appearance of symptoms. Early detection of ST-elevation myocardial infarction (STEMI) on a 12-lead ECG, within 10 minutes after the first medical contact before hospitalization not only minimizes the time taken for diagnosis and reperfusion therapy but also increases the chances of patient survival and preservation of myocardial function. However, it is challenging to perform a 12-lead ECG promptly using the standard 12-lead ECG system for several reasons. First, it is difficult to identify the landmarks for the 10-electrode configuration of the standard ECG. Second, electrodes on the extremities often cause artifacts due to body and muscle movements. Moreover, most of the standard 12-lead ECG systems have cables connected to the precordial and limb leads, which frequently get entangled and disorganized, and can be difficult to manage.Most importantly, its accuracy is dependent on the operators' experience; not just that of the nurses or emergency medical technicians, but also of cardiologists.These difficulties might increase the time taken to perform an ECG especially in pre-hospital situations. 2. Objective The purpose of this study is to determine the difference of timely acquirement of 12-lead ECG using two different systems and the difference of hospital delay in ED between two groups. 3. Design : Randomized controlled trial 4. Setting : ED at the Samsung medical center 5. Enrollment : 36 patients who visited the ED with chest pain 6. Intervention Standard 12-lead ECG will be performed at the time of visiting ED to the participants with chest pain. ED physicians will prescribe to perform second and third 12-lead ECG in every 15 minutes. 1. Control group : Second and third 12 lead ECG will be taken using standard 12-lead ECG device as a doctor's order. 2. Study group :Second and third 12 lead ECG will be taken using patchy-type 12-lead ECG device as a doctor's order. 7. scoring To measure, interval from the anticipated time to take 12-lead ECG to the time actually performed will be measured. The duration from the anticipated time to the time of verification by physician will be also measured. 8. study period The experiment ends when patient who agreed to participate in the study discharged the ED.


Recruitment information / eligibility

Status Completed
Enrollment 36
Est. completion date December 16, 2019
Est. primary completion date October 8, 2019
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group 19 Years and older
Eligibility Inclusion Criteria: - A subject who visited the ER with a cardiogenic chest pain - adult patients over 19 years of age - A subject who completed the 1st ECG Exclusion Criteria: - A subject who did not agree with this study - arrest patient - Dead on arrival - STEMI patients who confirmed by 1st ECG in ER - shock status patient in triage state

Study Design


Related Conditions & MeSH terms


Intervention

Device:
patchy-type wireless 12-lead ECG
Perform 12-lead ECG using patchy-type wireless 12-lead ECG. This device automatically record 12-lead ECG in every 15 minutes by its algorithm.

Locations

Country Name City State
Korea, Republic of Samsung Medical Center Seoul Gangnam

Sponsors (1)

Lead Sponsor Collaborator
Samsung Medical Center

Country where clinical trial is conducted

Korea, Republic of, 

Outcome

Type Measure Description Time frame Safety issue
Primary Time from ordering to performing 12-lead ECGs during up to 24 hours in ED. Comparison of interval from the anticipated time to take 12-lead ECG to the time actually performed will be measured. measure the time duration from ECG ordering to performing during up to 24 hours in ED
Primary Time from ordering to verifying 12-lead ECGs by ED physician during up to 24 hours in ED. Comparison of interval from the anticipated time to take 12-lead ECG to the time verified by physician measure the time duration from ECG ordering to verifying by ED physician during up to 24 hours in ED
Secondary The Presence of artifacts in 12-lead ECGs. Comparison of the presence of artifacts in 12-lead ECGs in intervention group and control group ECG reading and checking of presence of artifacts in 12 lead ECGs through study completion, an average of 1 month.
See also
  Status Clinical Trial Phase
Completed NCT04153006 - Comparison of Fingerstick Versus Venous Sample for Troponin I.
Recruiting NCT03664973 - Serratus Plane Block for Rib Fractures N/A
Completed NCT02905383 - The Effect of Exercise on Physical Function and Health in Older People After Discharge From Hospital N/A
Not yet recruiting NCT05649891 - Checklists Resuscitation Emergency Department N/A
Withdrawn NCT03906812 - A Randomized Trial of Telemetry Compared With Unmonitored Floor Admissions in ED Patients With Low-Risk Chest Pain N/A
Active, not recruiting NCT02892903 - In the Management of Coronary Artery Disease, Does Routine Pressure Wire Assessment at the Time of Coronary Angiography Affect Management Strategy, Hospital Costs and Outcomes? N/A
Completed NCT02538861 - Acute Chest Pain Imaging in the ED With the Combine CCTA and CT Perfusion
Completed NCT02538770 - Rapid Viral Diagnostics in Adults to Reduce Antimicrobial Consumption and Duration of Hospitalization N/A
Completed NCT01931852 - Cardiac Magnetic Resonance Imaging Strategy for the Management of Patients With Acute Chest Pain and Detectable to Elevated Troponin N/A
Completed NCT02440893 - Understanding the Effect of Metformin on Corus CAD (or ASGES)
Completed NCT01665521 - Efficacy Evaluation of the HEART Pathway in Emergency Department Patients With Acute Chest Pain N/A
Recruiting NCT01542086 - Comparison of the Cost-Effectiveness of Coronary CT Angiography Versus Myocardial SPECT in Patients With Intermediate Risk of Coronary Heart Disease N/A
Completed NCT01604655 - ProspEctive First Evaluation in Chest Pain Trial N/A
Terminated NCT01836211 - High-Sensitivity Troponin T and Coronary Computed Tomography Angiography for Rapid Diagnosis of Emergency Chest Pain N/A
Completed NCT01486030 - Effect of Exercise Stress Testing on Peripheral Gene Expression Using Corus CAD (or ASGES) Diagnostic Test
Completed NCT01163019 - 2D Strain Echocardiography for Diagnosing Chest Pain in the Emergency Room N/A
Completed NCT00709670 - ComParative Diagnostic Study Between Multislice Computed Tomography (MSCT) and Stress Echography in Coronarin Patients. N/A
Completed NCT00536224 - Chest Pain Observation Unit Risk Reduction Trial N/A
Terminated NCT00221182 - Stem Cell Study for Patients With Heart Disease Phase 1/Phase 2
Completed NCT00075088 - Tele-Electrocardiography in Emergency Cardiac Care Phase 3