Cost Comparison of Cardiac Magnetic Resonance Imaging (MRI) Use in Emergency Department (ED) Patients With Chest Pain

Completed · Not applicable

Conditions studied: Acute Coronary Syndrome, Chest Pain

In brief

The purpose of this study is to investigate the best way to evaluate patients with chest pain in the emergency department. It compares receiving treatment in an observation unit with admission to the hospital. Patients treated in the observation unit will undergo cardiac Magnetic Resonance Imaging (MRI) testing. Patients treated with hospital admission will undergo the testing their doctor determines is best for them. All patients will undergo follow up to find out if they have had any heart related events.

Key facts

Study ID

NCT00678639

Run by

Wake Forest University Health Sciences

People needed

110

Starts

2008-01-01

Expected to finish

2009-03-01

Last updated by the study team

2018-09-11

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Age greater than or equal to 18 years of age at the time of enrollment
• Chest discomfort or other symptoms consistent with possible Acute Coronary Syndrome (ACS) as indicated by the treating physician after obtaining an Electrocardiogram (ECG) and cardiac biomarkers for the patient's evaluation
• Patient requires an inpatient evaluation for their chest pain
• The treating physician feels the patient could be discharged home if cardiac disease was excluded
• Thrombolysis in Myocardial Infarction (TIMI) risk score ≥ 2 OR physician clinical impression of intermediate or high likelihood that the symptoms represent ACS
• Negative pregnancy test (if sexually active, female, and of childbearing age)

You may not qualify if…

• Initial troponin I > 1.0 ng/ml
• New ST-segment elevation on any electrocardiogram (≥ 1 mV)
• New ST-segment depression on any electrocardiogram (≥ 2 mV)
• Unable to lie flat
• Hypotension (systolic < 90 mm Hg)
• Contra-indications to MRI(Pacemaker, defibrillator, cerebral aneurysm clips, metallic ocular foreign body, implanted devices, claustrophobia)
• Patient refusal of medical record review and telephone follow-up at 30 days
• Terminal diagnosis with life expectancy less than 3 months
• Pregnancy per patient report or positive pregnancy test (Center for Medicare \& Medicaid Services (CMS) exclusion criteria)
• Renal insufficiency(done prior to enrollment)or end stage renal disease
• Chronic liver disease (ex. hepatitis, cirrhosis)
• History of liver, heart, or kidney transplant

Where it is running

• Wake Forest University Baptist Medical Center - Emergency Department — Winston-Salem, North Carolina, United States

Full record on ClinicalTrials.gov

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