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Efficacy of the CARE Rule Associated With the HEART Score in Patients With Emergency Chest Pain — eCARE  

Chest Pain Clinical Trial

Official title:
Efficacy of the CARE Rule Associated With the HEART Score in Patients With Emergency Chest Pain

Clinical Trial Summary

Acute coronary syndrome (ACS) is a major public health problem and its diagnosis remains a challenge for the emergency physician. The European Society of Cardiology recommends a troponin dosage and renew it if necessary during any suspicion of ACS. However, the criteria leading to initiate a diagnostic procedure during chest pain are imprecise. The fear is, on the one hand, to miss a potentially vital diagnosis and, on the other hand, to expose a large number of patients to unnecessary examinations. The CARE rule (also known as HEAR score) seems to streamline this first step. It assigns a value of 0 to 2 using 4 items: Characteristic of pain, Age, Risk factors and Electrocardiogram (ECG). The search for an ACS is not justified if the sum of the points is <2 (negative rule) and, inversely, a troponin determination must be carried out if the sum is > 1 (positive rule). The aim of the study is to demonstrate the safety and interest of the CARE rule associated with the HEART score to streamline ACS's diagnostic approach to thoracic pain in emergencies departments.

Clinical Trial Description

Data collected in this study are not anticipated to be published in a data repository. However, data will be shared per requested need to researchers, upon presentation of a structured protocol, when approved by the competent ethic committee and approved by the steering committee. ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details
NCT number NCT04157790
Study type Interventional
Source University Hospital, Angers
Contact
Status Completed
Phase N/A
Start date January 10, 2022
Completion date September 19, 2023
View Details
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