Myocardial Infarction Clinical Trial
Official title:
The Use of a Visual Decision Aid for Shared Decision Making Among Patients With Chest Pain
NCT number | NCT03674021 |
Other study ID # | CPC |
Secondary ID | |
Status | Terminated |
Phase | N/A |
First received | |
Last updated | |
Start date | March 1, 2019 |
Est. completion date | September 3, 2021 |
Verified date | August 2021 |
Source | National University Hospital, Singapore |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
This study aims to evaluate the use of the chest pain choice (CPC) decision aid as a tool to facilitate discussion between the patient and his/her attending physician with regard to subsequent management plans. Patients aged 21 years and above with low-risk chest pain, as determined by the HEART score (HEART score 0-3), will be included. The investigator's hypothesis is that incorporating the Chest Pain Choice visual aid in shared decision making can help to reduce unnecessary admissions for low risk chest pain to the observation ward, as well as increase patient knowledge with regards to their own condition.
Status | Terminated |
Enrollment | 18 |
Est. completion date | September 3, 2021 |
Est. primary completion date | September 3, 2021 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 21 Years to 99 Years |
Eligibility | Inclusion Criteria: - Aged 21 years and above - Have low risk chest pain as defined by the HEART score (0-3 points) - Be English-literate - Have an initial serum troponin that is less than the 99th centile of the normal reference population - Have an initial electrocardiogram that is not suggestive of cardiac ischaemia Exclusion Criteria: - Have a HEART score of 4 or more - Are not English-literate - Have an elevated initial serum troponin - Have an initial electrocardiogram that is suggestive of cardiac ischaemia (ST-segment depression or elevation, new onset left bundle brunch block, T-wave inversions, etc.) - Have known coronary artery disease - Have a prior plan for cardiac intervention or admission - Have barriers to outpatient follow-up - Are prisoners - Are pregnant - Are hearing or visually impaired, or are otherwise unable to use the clinical decision aid - Do not consent to participation in the study |
Country | Name | City | State |
---|---|---|---|
Singapore | Mui Teng Chua | Singapore | Central |
Lead Sponsor | Collaborator |
---|---|
National University Hospital, Singapore |
Singapore,
Anderson RT, Montori VM, Shah ND, Ting HH, Pencille LJ, Demers M, Kline JA, Diercks DB, Hollander JE, Torres CA, Schaffer JT, Herrin J, Branda M, Leblanc A, Hess EP. Effectiveness of the Chest Pain Choice decision aid in emergency department patients with — View Citation
Hess EP, Knoedler MA, Shah ND, Kline JA, Breslin M, Branda ME, Pencille LJ, Asplin BR, Nestler DM, Sadosty AT, Stiell IG, Ting HH, Montori VM. The chest pain choice decision aid: a randomized trial. Circ Cardiovasc Qual Outcomes. 2012 May;5(3):251-9. doi: — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Admission to the Emergency Department Observation Unit | Admission to the Emergency Department Observation Unit during index emergency department visit | Index visit | |
Secondary | Major Adverse Cardiac Events (MACE) at 30 days | MACE is defined as all-cause mortality, myocardial infarction or coronary revascularisation. | 30 days after index visit | |
Secondary | Major Adverse Cardiac Events at 60 days | MACE is defined as all-cause mortality, myocardial infarction or coronary revascularisation. | 60 days after index visit | |
Secondary | Emergency Department Attendance at 30 days | Repeat attendance to the emergency department | 30 days after index visit | |
Secondary | Emergency Department Attendance at 60 days | Repeat attendance to the emergency department | 60 days after index visit | |
Secondary | Stress treadmill electrogram at 30 days | The presence of stress treadmill electrocardiogram at 30 days post index visit | 30 days after index visit | |
Secondary | Stress treadmill electrogram at 60 days | The presence of stress treadmill electrocardiogram at 60 days post index visit | 60 days after index visit | |
Secondary | Stress myocardial perfusion imaging at 30 days | The presence of stress myocardial perfusion imaging at 30 days post index visit | 30 days after index visit | |
Secondary | Stress myocardial perfusion imaging at 60 days | The presence of stress myocardial perfusion imaging at 60 days post index visit | 60 days after index visit | |
Secondary | Stress echocardiogram at 30 days | The presence of stress echocardiogram at 30 days post index visit | 30 days after index visit | |
Secondary | Stress echocardiogram at 60 days | The presence of stress echocardiogram at 60 days post index visit | 60 days after index visit | |
Secondary | Computed tomography of the coronary arteries (CTCA) at 30 days | The presence of computed tomography of the coronary arteries (CTCA) at 30 days post index visit | 30 days after index visit | |
Secondary | Computed tomography of the coronary arteries (CTCA) at 60 days | The presence of computed tomography of the coronary arteries (CTCA) at 60 days post index visit | 60 days after index visit |
Status | Clinical Trial | Phase | |
---|---|---|---|
Recruiting |
NCT06013813 -
Conventional vs. Distal Radial Access Outcomes in STEMI Patients Treated by PCI
|
N/A | |
Completed |
NCT04507529 -
Peer-mentor Support for Older Vulnerable Myocardial Infarction Patients
|
N/A | |
Recruiting |
NCT06066970 -
Cardiac Biomarkers for the Quantification of Myocardial Damage After Cardiac Surgery
|
||
Recruiting |
NCT03620266 -
Effects of Bilberry and Oat Intake After Type 2 Diabetes and/or MI
|
N/A | |
Completed |
NCT04097912 -
Study to Gather Information to What Extent Patients Follow the Treatment Regimen of Low-dose Aspirin for Primary and Secondary Prevention of Diseases of the Heart and Blood Vessels
|
||
Completed |
NCT04153006 -
Comparison of Fingerstick Versus Venous Sample for Troponin I.
|
||
Completed |
NCT03668587 -
Feasibility and Security of a Rapid Rule-out and rule-in Troponin Protocol in the Management of NSTEMI in an Emergency Departement
|
||
Recruiting |
NCT01218776 -
International Survey of Acute Coronary Syndromes in Transitional Countries
|
||
Completed |
NCT03076801 -
Does Choral Singing Help imprOve Stress in Patients With Ischemic HeaRt Disease?
|
N/A | |
Recruiting |
NCT05371470 -
Voice Analysis Technology to Detect and Manage Depression and Anxiety in Cardiac Rehabilitation
|
N/A | |
Recruiting |
NCT04562272 -
Attenuation of Post-infarct LV Remodeling by Mechanical Unloading Using Impella-CP
|
N/A | |
Completed |
NCT04584645 -
A Digital Flu Intervention for People With Cardiovascular Conditions
|
N/A | |
Active, not recruiting |
NCT04475380 -
Complex All-comers and Patients With Diabetes or Prediabetes, Treated With Xience Sierra Everolimus-eluting Stents
|
||
Not yet recruiting |
NCT06007950 -
Time-restricted Eating Study (TRES): Impacts on Anthropometric, Cardiometabolic and Cardiovascular Health
|
N/A | |
Withdrawn |
NCT05327855 -
Efficacy and Safety of OPL-0301 Compared to Placebo in Adults With Post-Myocardial Infarction (MI)
|
Phase 2 | |
Recruiting |
NCT02876952 -
High Intensity Aerobic Interval Training With Mediterranean Diet Recommendations in Post-Myocardial Infarct Patients
|
N/A | |
Completed |
NCT02711631 -
Feasibility and Effectiveness of Remote Virtual Reality-Based Cardiac Rehabilitation
|
N/A | |
Completed |
NCT02917213 -
Imaging Silent Brain Infarct And Thrombosis in Acute Myocardial Infarction
|
||
Completed |
NCT02305602 -
A Study of VentriGel in Post-MI Patients
|
Phase 1 | |
Completed |
NCT02382731 -
Interventions to Support Long-Term Adherence aNd Decrease Cardiovascular Events Post-Myocardial Infarction
|
N/A |