How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

792 results for

Coronary Risk Stratification of Chest Pain

by
...
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

21. Non-contrast Cardiac CT as a Risk Stratification Tool in Patients With Non-cardiac Chest Pain

commences at September 2014 and results of this project are expected to contribute to the risk stratification of Non-cardiac chest pain patients. Condition or disease Intervention/treatment Coronary Artery Disease Other: Non-contrast Cardiac CT scan Study Design Go to Layout table for study information Study Type : Observational Actual Enrollment : 248 participants Observational Model: Cohort Time Perspective: Prospective Study Start Date : September 2014 Actual Primary Completion Date : June 2015 (...) Non-contrast Cardiac CT as a Risk Stratification Tool in Patients With Non-cardiac Chest Pain Non-contrast Cardiac CT as a Risk Stratification Tool in Patients With Non-cardiac Chest Pain - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one

2015 Clinical Trials

22. Chest pain in the emergency department: risk stratification with Manchester triage system and HEART score. (Full text)

Chest pain in the emergency department: risk stratification with Manchester triage system and HEART score. Fast and accurate chest pain risk stratification in the emergency department (ED) is critical. The HEART score predicts the short-term incidence of major adverse cardiac events (MACE) in this population, dividing it in three risk categories. We aimed to describe the population with chest pain, to characterize the subgroup of patients with acute coronary syndrome (ACS) and to assess (...) (c-statistic 0.880; 95 % CI, 0.807-0.950, p < 0.001).Chest pain patients have very different levels of severity and the discriminatory power of Manchester triage system should be used in the assessment of this population. The HEART score seems to be an effective tool for risk stratification in the ED.

2015 BMC Cardiovascular Disorders

23. Early Risk Stratification in ED Chest Pain Patients

Early Risk Stratification in ED Chest Pain Patients Early Risk Stratification in ED Chest Pain Patients - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Early Risk Stratification in ED Chest Pain Patients (...) Observational Model: Cohort Time Perspective: Prospective Official Title: Improving Early Risk Stratification in Patients Presenting to Emergency Departments With Undifferentiated Chest Pain Study Start Date : March 2013 Actual Primary Completion Date : October 2014 Actual Study Completion Date : October 2014 Resource links provided by the National Library of Medicine related topics: Groups and Cohorts Go to Group/Cohort Intervention/treatment MACE groups Patients with major adverse cardiac events occurred

2015 Clinical Trials

24. Addition of heart score to high-sensitivity troponin T versus conventional troponin T in risk stratification of patients with chest pain at the coronary emergency rooms (Full text)

Addition of heart score to high-sensitivity troponin T versus conventional troponin T in risk stratification of patients with chest pain at the coronary emergency rooms Patients with chest pain have a large impact on available resources in coronary emergency rooms (CER). Clinical judgement, ECG, risk scores and biomarkers guide in risk stratification. We investigated if high-sensitivity troponin T (HsT) and the HEART Score could contribute to risk stratification at the CER. All patients (...) with chest pain, without elevated conventional troponin levels at presentation, were included. HsT levels were determined at admission (T1), at 4-6 h (T2) and 8-10 h after symptom onset (T3). The HEART Score was calculated as risk score for the occurrence of a major adverse cardiac event (MACE). Thirty days after discharge, occurrence of MACE was registered. Eighty-nine patients were included (overall mean age 61 years (range 20-90)). At presentation, 68 patients (76 %) had a HsT below cut-off value

2014 Netherlands Heart Journal

25. A 2-hour thrombolysis in myocardial infarction score outperforms other risk stratification tools in patients presenting with possible acute coronary syndromes: Comparison of chest pain risk stratification tools. (PubMed)

A 2-hour thrombolysis in myocardial infarction score outperforms other risk stratification tools in patients presenting with possible acute coronary syndromes: Comparison of chest pain risk stratification tools. Accelerated diagnostic pathways for risk stratification of patients presenting to the emergency department with potential acute coronary syndromes may identify very-low-risk patients safe for early discharge to outpatient care.Patients presenting with potential acute coronary syndrome (...) to the emergency department were prospectively enrolled between November 2007 and April 2010. Patient characteristics in conjunction with 0- and 2-hour biomarkers and electrocardiograms were analyzed according to a 2-hour thrombolysis in myocardial infarction (TIMI) score and 9 other accelerated diagnostic pathways. The primary outcome was acute coronary syndrome by 30 days.Of 1,000 patients, 362 (36.2%) had a primary outcome. A pathway comprising electrocardiogram, prior ischemic heart disease, 0/2-hour

2012 American Heart Journal

26. The approach to patients with possible cardiac chest pain. (PubMed)

. In patients with ongoing symptoms of chest pain, without an obvious other cause, ST-segment-elevation myocardial infarction should be excluded with a 12-lead electrocardiogram at the first available opportunity. Significant recent advances in the clinical approach to patients with acute chest pain, including better understanding of risk stratification, increasingly sensitive cardiac biomarkers and new non-invasive tests for coronary disease, can help clinicians minimise the risk of unexpected short-term (...) The approach to patients with possible cardiac chest pain. Chest pain is a common reason for presentation in hospital emergency departments and general practice. Some patients presenting with chest pain to emergency departments and, to a lesser extent, general practice will be found to have a life-threatening cause, but most will not. The challenge is to identify those who do in a safe, timely and cost-effective manner. An acute coronary syndrome cannot be excluded on clinical grounds alone

2020 Medical Journal of Australia

27. Biomarkers and Risk Scores for Risk Stratification of Unstable Angina

that very low levels of detected troponin in patients with stable coronary artery disease do adversely impact on cardiac death and the development of heart failure. Condition or disease Chest Pain Study Design Go to Layout table for study information Study Type : Observational Actual Enrollment : 489 participants Observational Model: Cohort Time Perspective: Prospective Official Title: Can a Multi-marker Strategy Improve Risk Stratification and Expedite Discharge in Unstable Angina? A Comparison (...) : No Studies a U.S. FDA-regulated Device Product: No Keywords provided by Aleem Khand, Aintree University Hospitals NHS Foundation Trust: acute coronary syndrome; biomarkers, HS troponins Additional relevant MeSH terms: Layout table for MeSH terms Chest Pain Angina, Unstable Pain Neurologic Manifestations Signs and Symptoms Angina Pectoris Myocardial Ischemia Heart Diseases Cardiovascular Diseases Vascular Diseases

2018 Clinical Trials

28. GDF-15 predicts cardiovascular events in acute chest pain patients. (Full text)

GDF-15 predicts cardiovascular events in acute chest pain patients. Treatment of patients presenting with possible acute myocardial infarction (AMI) is based on timely diagnosis and proper risk stratification aided by biomarkers. We aimed at evaluating the predictive value of GDF-15 in patients presenting with symptoms suggestive of AMI.Consecutive patients presenting with suspected AMI were enrolled in three study centers. Cardiovascular events were assessed during a follow-up period of 6 (...) presenting with suspected MI. GDF-15 levels correlate with the severity of CAD and can identify and risk-stratify patients who need coronary revascularization.

2017 PLoS ONE

29. CADScor system for ruling out coronary artery disease in people with symptoms of stable coronary artery disease

examination, 12-lead ECG) but before CT coronary angiography (CTCA). The main points from the e main points from the evidence vidence summarised in this briefing are from 2 prospective observational studies involving a total of 1,900 adults referred to coronary computed tomography or invasive coronary angiography because of symptoms suggestive of stable coronary artery disease. Based on the reported diagnostic accuracy of CAD-score for coronary artery disease, they show the CADScor system can allow risk (...) stratification that is superior to clinical risk scores. K Ke ey uncertainties y uncertainties around the evidence are that it is limited in quantity, with no data from an NHS setting. Evidence supporting its diagnostic accuracy is in people of European family origin only. © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 1 of 10The cost cost of CADScor system is £4,460 per unit (exclusive of VAT). The technology may

2019 National Institute for Health and Clinical Excellence - Advice

30. Coronary Risk Stratification of Chest Pain

Coronary Risk Stratification of Chest Pain Coronary Risk Stratification of Chest Pain Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 (...) Coronary Risk Stratification of Chest Pain Coronary Risk Stratification of Chest Pain Aka: Coronary Risk Stratification of Chest Pain , Likelihood of Coronary Disease as Cause of Chest Pain , Chest Pain Prediction Rules , Chest Pain Decision Rules From Related Chapters II. Risk Factors See s See III. Diagnosis: Prediction Rules IV. Criteria: High Likelihood Known history Typical l symptoms Men over age 60 Women over age 70 Characteristic symptoms radiating to the right arm or (LR+ 4.7) radiating

2015 FP Notebook

31. Computerized Medical History Taking for Acute Chest Pain

, Risk stratification Additional relevant MeSH terms: Layout table for MeSH terms Acute Coronary Syndrome Chest Pain Myocardial Ischemia Heart Diseases Cardiovascular Diseases Vascular Diseases Pain Neurologic Manifestations Signs and Symptoms (...) Institutet Information provided by (Responsible Party): Thomas Kahan, Karolinska Institutet Study Details Study Description Go to Brief Summary: The aim is to determine the additional value of computerized, patient-entered medical histories for the management of patients presenting at the emergency department with chest pain. Condition or disease Intervention/treatment Chest Pain Acute Coronary Syndrome Device: CLEOS software program Procedure: Physician taken history Detailed Description: The purpose

2018 Clinical Trials

32. Prehospital Translation of Chest Pain Tools

Mobile Integrated Healthcare Cumberland County EMS New Hanover Regional Medical Center EMS Information provided by (Responsible Party): Wake Forest University Health Sciences Study Details Study Description Go to Brief Summary: Decision aids such as the HEART Pathway, Emergency Department Assessment of Chest Pain Score (EDACS), Revised Geneva Score and PERC Score have similar ability to accurately risk stratify Emergency Department (ED) patients with possible Acute Coronary Syndrome (ACS (...) risk stratification tools, the HEART Pathway Score, EDACS score, revised Geneva score, and PERC score, among 250 chest pain patients within two large EMS systems. The proposed pilot study has broad-based support from local and state EMS agencies, including Cumberland and New Hanover County EMS agencies. Each tool will be pilot tested and compared in the prehospital setting for feasibility and accuracy. Paramedics will be trained in risk stratification tool use and then will prospectively collect

2018 Clinical Trials

33. Does an imaging stress-test adds information to prognostic scores in patients with chest pain in the emergency department? (PubMed)

Does an imaging stress-test adds information to prognostic scores in patients with chest pain in the emergency department? We evaluated the ability of a stress-test (Str-T) to improve the risk stratification based on prognostic scores in patients presenting to the ED with chest pain. Between 2008, June and 2013, December, 1082 patients with chest pain were evaluated with an imaging Str-T. With a retrospective analysis, patients were stratified according to: (1) Florence Prediction Rule as low (...) (0-1, LR-FPR), intermediate (2-4, IR-FPR), high risk (5-6, HR-FPR), respectively, 26, 50 and 24% of patients; (2) HEART score as LR-HEART, (0-3) and HR-HEART (≥4), respectively, 36 and 64%; (3) likelihood of CAD according to NICE guidelines, 10-29% LR-NICE, 30-60% IR-NICE and > 60% HR-NICE, respectively, 12, 18 and 70%. Scores' diagnostic performance was calculated with Str-T as reference. One-month follow-up by a phone call was performed, to investigate the occurrence of new cardiovascular

2018 Internal and emergency medicine

34. Impaired renal function is associated with adverse outcomes in patients with chest pain discharged from internal medicine wards. (PubMed)

or <45 ml/min/1.73m2, respectively, p < 0.001).We found an independent graded association between lower eGFR and the risk of death and ACS among patients with chest pain who were discharged from internal medicine wards following an ACS rule-out. The eGFR may be combined in the risk stratification of patients with chest pain.Copyright © 2018. Published by Elsevier B.V. (...) Impaired renal function is associated with adverse outcomes in patients with chest pain discharged from internal medicine wards. Assessment of chest pain is one of the most common reasons for hospital admissions in internal medicine wards. However, little is known regarding predictors for poor prognosis in patients discharged from internal medicine wards after acute coronary syndrome (ACS) rule-out.To assess the association of kidney function with mortality and hospital admissions due to ACS

2018 European journal of internal medicine

35. Epicardial Fat Volume Improves the Prediction of Obstructive Coronary Artery Disease Above Traditional Risk Factors and Coronary Calcium Score. (Full text)

reclassification improvement and integrated discrimination improvement, excellent area under the receiver operating characteristic curve and favorable calibration. Further, the new model demonstrated a better prediction of clinical outcome, resulting in a more cost-effective risk stratification to optimize decision-making of downstream diagnosis and treatment.Addition of EFV to conventional risk factors and coronary calcium score offered a more accurate and effective estimation for pretest probability (...) of obstructive coronary artery disease, which may help to improve initial management of stable chest pain.

2019 Circulation. Cardiovascular imaging

36. Risk stratification in patients with acute chest pain using three high-sensitivity cardiac troponin assays. (Full text)

Risk stratification in patients with acute chest pain using three high-sensitivity cardiac troponin assays. Several high-sensitivity cardiac troponin (hs-cTn) assays have recently been developed. It is unknown which hs-cTn provides the most accurate prognostic information and to what extent early changes in hs-cTn predict mortality.In a prospective, international multicentre study, cTn was simultaneously measured with three novel [high-sensitivity cardiac Troponin T (hs-cTnT), Roche Diagnostics (...) the incremental value of changes. Hs-cTn concentrations remained predictors of death in clinically challenging subgroups such as patients with pre-existing coronary artery disease, impaired renal function, and patients older than 75 years.High-sensitivity cardiac Troponin T is more accurate than hs-cTnI in the prediction of long-term mortality. Changes of hs-cTn do not seem to further improve risk stratification beyond initial presentation values.

2013 European Heart Journal

37. Risk stratification with exercise N13-ammonia PET in adults with anomalous right coronary arteries (Full text)

Risk stratification with exercise N13-ammonia PET in adults with anomalous right coronary arteries In adults with an interarterial and intramural course of an anomalous right coronary artery from the left sinus (AAORCA), surgical unroofing is recommended in the setting of myocardial ischaemia. However, data regarding functional testing are limited, and the management of adults without ischaemia is unclear. To evaluate these patients, we employed an exercise N(13)-ammonia positron emission (...) tomography (PET) protocol. We hypothesised that patients with typical angina and exertional dyspnoea would be more likely to have ischaemia and that patients without ischaemia could be managed conservatively.Between July 2008 and December 2014, we retrospectively identified 27 consecutive patients >18 years old with an interarterial and intramural course of an AAORCA who had exercise N(13)-ammonia PET.The majority of patients had anatomic delineation with cardiac CT (25, 93%), and most patients had chest

2016 Open heart

38. Coronary Atherosclerosis Disease Early Identification and Risk Stratification by Noninvasive Imaging

Coronary Atherosclerosis Disease Early Identification and Risk Stratification by Noninvasive Imaging Coronary Atherosclerosis Disease Early Identification and Risk Stratification by Noninvasive Imaging - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please (...) remove one or more studies before adding more. Coronary Atherosclerosis Disease Early Identification and Risk Stratification by Noninvasive Imaging (Creation) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03518437

2016 Clinical Trials

39. Stress-Delta Biomarkers for Acute Coronary Syndrome Risk Stratification

Stress-Delta Biomarkers for Acute Coronary Syndrome Risk Stratification Stress-Delta Biomarkers for Acute Coronary Syndrome Risk Stratification - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Stress-Delta (...) Biomarkers for Acute Coronary Syndrome Risk Stratification The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02717702 Recruitment Status : Active, not recruiting First Posted : March 24, 2016 Last Update Posted : July 31, 2018 Sponsor: Duke University Information provided by (Responsible Party): Duke

2016 Clinical Trials

40. Chest pain: coronary CT in the ER (Full text)

Chest pain: coronary CT in the ER Cardiac CT has developed into a robust clinical tool during the past 15 years. Of the fields in which the potential of cardiac CT has raised more interest is chest pain in acute settings. In fact, the possibility to exclude with high reliability obstructive coronary artery disease (CAD) in patients at low-to-intermediate risk is of great interest both from the clinical standpoint and from the management standpoint. Several other modalities, with or without (...) imaging, have been used during the past decades in the settings of new onset chest pain or in acute chest pain for both diagnostic and prognostic assessment of CAD. Each one has advantages and disadvantages. Most imaging modalities also focus on inducible ischaemia to guide referral to invasive coronary angiography. The advent of cardiac CT has introduced a new practice diagnostic paradigm, being the most accurate non-invasive method for identification and exclusion of CAD. Furthermore, the detection

2016 The British journal of radiology

To help you find the content you need quickly, you can filter your results via the categories on the right-hand side >>>>