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NCT00470587Completed

Advantageous Predictors of Acute Coronary Syndromes Evaluation (APACE) Study

Source: ClinicalTrials.gov · Last updated 15 Dec 2025

Brief summary (registry, in English)

The triage of patients with suspected acute coronary syndrome in the emergency room is a time-consuming diagnostic challenge. Therefore high sensitive early markers for myocardial damage are needed for more rapidly rule out of acute myocardial infarction (AMI) - especially for the first 3 to 4 hours after onset of chest pain in AMI ("troponin-blind" period). Therefore we test the hypothesis that the use meticulous patient history and novel cardiac markers can provide a faster detection or exclusion of AMI in patients presenting with acute chest pain to the emergency department. The prospective cohort study is designed to enrol patients presenting with acute chest pain at rest within the last 12 hours to the emergency department. Several blood samples for detection of the new markers will be drawn and compared with the gold standard for the diagnosis of AMI (high-sensitivity cardiac troponin T). All patients will be contacted by telephone at 3, 12, 24 and 60 months to determine functional status, major adverse cardiac events (death, myocardial infarction, coronary artery bypass grafting, percutaneous coronary intervention), and the results of cardiac examination (stress test, coronary angiography) if performed.

Status (registry)
Completed
Study type
Observational
Enrollment
10000 (actual)
First submitted
7 May 2007
Start date
1 Apr 2006
Primary completion date
2 Mar 2025
Lead sponsor
University Hospital, Basel, Switzerland
NCT number
NCT00470587

What you commit to

  • Study type: Observational
  • Participants enrolled: 10000
  • From 1 Apr 2006 to the primary completion date, 2 Mar 2025
  • 13 sites in 5 countries
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Other illness

  • Terminal kidney disease requiring regular dialysis

Age

  • Age \< 18 years

Other

  • Cardiogenic shock

Who the study is looking for

  • Patients presenting to the emergency department
  • Typical angina pectoris or other thoracic sensations that are suspected to be caused by myocardial ischemia
  • Symptoms at rest or minor exertion
  • Onset of symptoms within the last 12 hours prior to presentation
  • Written informed consent

Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (13)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
University Hospital of Basel
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BaselSwitzerlandUnknown status
Kantonsspital Baselland, Standort Bruderholz
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BottmingenSwitzerlandUnknown status
Kantonsspital Baselland - Standort Liestal
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LiestalSwitzerlandUnknown status
Klinik St. Anna
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LucerneSwitzerlandUnknown status
Kantonsspital Olten
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OltenSwitzerlandUnknown status
Spital Limmattal
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SchlierenSwitzerlandUnknown status
Universitätsspital Zürich
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ZurichSwitzerlandUnknown status
Masaryk University Brno
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BrnoCzechiaUnknown status
Hospital Clinic of Barcelona
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BarcelonaSpainUnknown status
Hospital del Mar
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BarcelonaSpainUnknown status
Hospital Clínico San Carlos
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MadridSpainUnknown status
Emergency Department San Martino Hospital
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GenovaItalyUnknown status
Medical University of Silesia
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ZabrzePolandUnknown status

This page is information, not medical advice. Discuss any trial with your doctor.