This research asks whether coronary calcium scoring, a non-invasive test based on computed tomography scanning, is a better way to diagnose chest pain patients than other currently used methods. Three of four patients will undergo calcium scoring and the remaining patients will receive standard care.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
DIAGNOSTIC
Masking
SINGLE
Scan with 64-detector row or better CT scanners with quantification by the Agatston method.
Routine clinical monitoring of chest pain patients. Any of a number of non-invasive cardiac tests such as coronary CT angiography, stress echocardiography and stress radionuclide myocardial perfusion imaging may be performed.
Montefiore Medical Center - Einstein Division
The Bronx, New York, United States
Montefiore Medical Center - Wakefield Division
The Bronx, New York, United States
Major Adverse Cardiovascular Events
number of patients with death, non-fatal heart attack, non-fatal stroke, non-fatal cardiac arrest
Time frame: 30 days
Length of Stay
emergency department and inpatient
Time frame: through completion of emergency department stay for each patient, an average of six hours and through completion of hospitalization, an average of two days
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