Hs-cTn - Optimizing the Diagnosis of Acute Myocardial Infarction/Injury in Women
NCT03819894 · Status: ACTIVE_NOT_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 24000
Last updated 2024-10-09
Summary
The project is focussed on evaluating the impact of using a female-specific threshold in the diagnosis of myocardial infarction. This female threshold is lower than the overall hs-cTn threshold currently in use. The investigators hypothesize that this change in process, applied at the hospital level, will lead to better assessment, treatment and outcomes of women presenting to the emergency department with chest pain that is cardiac in nature.
Conditions
- Myocardial Infarction
- Sex Differences
- High Sensitivity Troponin
Interventions
- DIAGNOSTIC_TEST
-
Introduction of a lower female hs-cTn threshold
The new female hs-cTn threshold will be baed on current recommendations for each of the assays used (hs-cTn T and I). The hospitals are the unit of randomization. At 5-month intervals, randomly selected hospitals will be advised that they are to transition to the intervention phase. For all men, the standard of care, overall population threshold will be used throughout the entire study.
Sponsors & Collaborators
-
Canadian Institutes of Health Research (CIHR)
collaborator OTHER_GOV -
BC Centre for Improved Cardiovascular Health
lead OTHER
Principal Investigators
-
Karin Humphries, DSc · Medicine, Cardiology, UBC, BC Centre for Improved Cardiovascular Health
Study Design
- Allocation
- RANDOMIZED
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- DOUBLE
- Model
- CROSSOVER
Eligibility
- Min Age
- 20 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2020-02-08
- Primary Completion
- 2025-03-31
- Completion
- 2025-03-31
Countries
- Canada
Study Locations
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