Emergency Medicine Cardiovascular Risk Assessment for Lipid Disorders Trial
NCT06488105 · Status: RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 130
Last updated 2026-02-27
Summary
Emergency Medicine Cardiovascular Risk Assessment for Lipid Disorders (EMERALD) is a protocolized intervention based on American College of Cardiology/American Heart Association and US Preventive Services Task Force guidelines designed to initiate preventive cardiovascular care for emergency department patients being evaluated for acute coronary syndrome. The overarching goals of this proposal are to (1) determine the efficacy of EMERALD at lowering low-density lipoprotein cholesterol (LDL-C) and non high-density lipoprotein cholesterol (non-HDL-C) among at-risk Emergency Department (ED) patients who are not already receiving guideline-directed outpatient preventive care and (2) inform our understanding of patient adherence and determinants of implementation for ED-based cardiovascular disease prevention strategies.
Conditions
- Lipid Disorder
- Hypercholesterolemia
- Cardiovascular Diseases
- Atherosclerosis
Interventions
- DRUG
-
Statin (rosuvastatin 10 or 40 mg daily, depending on risk)
moderate- or high-intensity statin (either rosuvastatin 10 mg daily or rosuvastatin 40 mg daily)
- BEHAVIORAL
-
Healthy Lifestyle Counseling
Healthy lifestyle counseling based off the American Heart Association's Life Essential 8 framework
- OTHER
-
Outpatient Followup
Emergency Medicine Cardiovascular Risk Assessment for Lipid Disorders (EMERALD) intervention patients will receive either cardiology or primary care referral (depending on risk level) and usual care patients will receive a primary care referral
Sponsors & Collaborators
-
National Institutes of Health (NIH)
collaborator NIH -
National Heart, Lung, and Blood Institute (NHLBI)
collaborator NIH -
Wake Forest University Health Sciences
lead OTHER
Principal Investigators
-
Nick Ashburn · [email protected]
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 40 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-08-05
- Primary Completion
- 2027-11-30
- Completion
- 2029-03-31
- FDA Drug
- Yes
Countries
- United States
Study Locations
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