Differential Diagnosis and Risk Stratification in Patients With Suspected NSTEACS

  • STATUS
    Recruiting
  • participants needed
    250
  • sponsor
    National Research Center for Preventive Medicine
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Updated on 16 February 2024
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Summary

To evaluate possibilities of rapid differential diagnosis and risk stratification in patients urgently admitted to the CCU with a suspected acute coronary syndrome without persistent ST-segment elevation (NSTEACS).

Description

Single centre prospective non-randomised non-comparative study of patients delivered by ambulance and admitted to the CCU with suspected NSTEACS.

Aims of this study are:

  1. To characterize the contingent of patients admitted to the CCU with suspected NSTEACS.
  2. To evaluate possibilities of fast differential diagnosis and risk stratification in patients admitted to the CCU with suspected NSTEACS using clinical data, ECG, biomarker levels (hsTn, NT-proBNP, hsCPR, cardiac FABP) as well as HEART, ADAPT, EDACS, T-MACS, GRACE, ACTION and TIMI scores.
  3. To evaluate the correlation between clinical data, ECG, biomarker levels (hsTn, NT-proBNP, hsCPR, cardiac FABP) as well as HEART, ADAPT, EDACS, T-MACS, GRACE, ACTION and TIMI scores with presence and severity of coronary atherosclerosis in patients admitted to the CCU (intensive care unit) with suspected NSTEACS.

Details
Condition Non ST Segment Elevation Acute Coronary Syndrome
Age 100years or below
Treatment Approaches to differential diagnosis and risk stratification
Clinical Study IdentifierNCT04400500
SponsorNational Research Center for Preventive Medicine
Last Modified on16 February 2024

Eligibility

 Yes No Not Sure

Inclusion Criteria

Delivered by ambulance to the CCU with suspected diagnosis "acute coronary syndrome (ACS)
Signed informed consent

Exclusion Criteria

ACS with persistent ST-segment elevation
Moribund; extremely severe condition on admission with a potentially unfavourable prognosis (cardiogenic shock, coma, cardiac arrest, an urgent need for mechanical ventilation)
Overt non-cardiac cause of clinical manifestations at the time of admission (bleeding, pulmonary embolism, aortic dissection, stroke)
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