Very Early veRsus Deferred Invasive Evaluation Using Computerized Tomography in Patients With Acute Coronary Syndromes
NCT02061891 · Status: ACTIVE_NOT_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 2500
Last updated 2022-12-12
Summary
The aim of this study is to evaluate if acute invasive coronary evaluation and treatment conducted within 12 hours of diagnosis improves clinical outcome compared to a deferred, subacute strategy in patients with unstable angina pectoris (UAP) / non-ST segment elevation myocardial infarction (NSTEMI) Acute coronary syndrome (ACS) Furthermore, in an observational design the potential clinical benefit of coronary computed tomography angiography (CCTA) to select patients for invasive investigation and treatment in the two treatment arms (acute vs deferred) is evaluated.
The following main hypothesis will be tested:
* Very early invasive coronary investigation improves clinical outcome in patients with UAP/NSTEMI-ACS
* CCTA performed before invasive coronary investigation will improve clinical management of patients with UAP/NSTEMI-ACS
Conditions
Interventions
- PROCEDURE
-
Invasive coronary evaluation (Deferred)
Invasive coronary angiography and revascularization (PCI/CABG)
- PROCEDURE
-
Invasive coronary evaluation (Acute)
Invasive coronary angiography and revascularization (PCI/CABG)
Sponsors & Collaborators
-
University Hospital, Gentofte, Copenhagen
collaborator OTHER -
Rigshospitalet, Denmark
lead OTHER
Principal Investigators
-
Lars V Køber, MD, DmSc · Department of Cardiology, Rigshospitalet, The Heart Center, Capital Region of Copenhagen, University of Copenhagen, Denmark
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2010-11-30
- Primary Completion
- 2016-06-30
- Completion
- 2030-05-31
Countries
- Denmark
Study Locations
More Related Trials
-
Rapid Assessment of Potential Ischaemic Heart Disease With CTCA
NCT02284191 ·Status: COMPLETED ·Phase: NA
-
Perfusion Estimation For Optimal Treatment Strategy in Chronic Coronary Syndrome
NCT05865600 ·Status: RECRUITING ·Phase: NA
-
Clinical Decision Support System to Define 30 Day Adverse Clinical Events for Emergency Department Acute Coronary Syndromes
NCT03286491 ·Status: UNKNOWN
-
Clinical Echocardiography and S' Wave for Early Recognition of Acute Coronary Syndrome in the Emergency Department, A Prospective Study
NCT06860997 ·Status: COMPLETED ·Phase: NA
-
CCT for Comprehensive Risk Stratification Following STEMI
NCT06020209 ·Status: RECRUITING ·Phase: NA
-
Study on Post-acute Myocardial Infarction Ventricular Defect: Outcome Evalutation in Relation to Surgical Timing
NCT06799780 ·Status: RECRUITING
-
TDI Preejection Velocities and Myocardial Viability
NCT00231205 ·Status: UNKNOWN
-
Cost-effectiveness and Safety of the CADScorSystem in Patients With Symptoms Suggestive of Stable Coronary Artery Disease.
NCT04121949 ·Status: COMPLETED ·Phase: NA
-
Early Cardiac Magnetic Resonance Imaging in Suspected Non-ST-Elevation Myocardial Infarction
NCT04140019 ·Status: UNKNOWN
-
The DANE-HEART Trial - Computed Tomography Coronary Angiography for Primary Prevention
NCT05677386 ·Status: ENROLLING_BY_INVITATION ·Phase: NA
-
Mechanisms Behind Microvascular Dysfunction in INOCA
NCT06529861 ·Status: NOT_YET_RECRUITING
-
Non-contrast Cardiac CT as a Risk Stratification Tool in Patients With Non-cardiac Chest Pain
NCT02422316 ·Status: COMPLETED
-
Myocardial Contrast Echocardiography for the Assessment of the Infarct Related Artery & Risk Area in Patients w/ NSTEMI.
NCT02014701 ·Status: UNKNOWN ·Phase: NA
-
NON-Invasive Examinations of Coronary Artery Disease
NCT00926458 ·Status: UNKNOWN
-
CArdiac cT in the Treatment of Acute CHest Pain 2 - Myocardial CT Perfusion
NCT02014311 ·Status: COMPLETED ·Phase: NA
-
Combined Non-invasive Coronary Angiography and Myocardial Perfusion Imaging Using 320 Detector Computed Tomography
NCT00934037 ·Status: COMPLETED ·Phase: PHASE3
-
Assessment of Coronary Stenoses Using Coronary CT-angiography and Non-invasive Fractional Flow Reserve Measurement.
NCT01739075 ·Status: COMPLETED
-
Validation of Coronary Calcium Subtraction to Improve Diagnostic Accuracy of Coronary CT Angiography
NCT02011061 ·Status: COMPLETED
-
Impact of Stress CT Myocardial Perfusion on Downstream Resources and Prognosis
NCT03976921 ·Status: UNKNOWN ·Phase: NA
-
Myocardial Perfusion Imaging by 15O-H2O PET/CT
NCT04451551 ·Status: RECRUITING
-
Prediction of Cardiovascular Events in Vulnerable Patients Following Acute Coronary Syndrome
NCT01500902 ·Status: COMPLETED ·Phase: NA
-
Pre-hospital Rule-out of Acute Coronary Syndrome
NCT05466591 ·Status: UNKNOWN ·Phase: NA
-
Coronary CT Angiography for Improved Assessment of Suspected Acute Coronary Syndrome
NCT03129659 ·Status: UNKNOWN ·Phase: NA
-
To Compare the Ischemic Pre-conditioning and Post-conditioning on Reperfusion Injury in Humans.
NCT00385151 ·Status: COMPLETED
-
Myocardial Ischemia in Non-obstructive Coronary Artery Disease
NCT01853527 ·Status: COMPLETED