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FFR-CT to Detect the Absence of Hemodynamically Significant Lesions in Patients With High-risk Acute Coronary Syndrome

Key facts

Who runs it
Centre Hospitalier Universitaire Vaudois
Where
Switzerland1 site in 1 countryChoose a country to see its sites
Trial code
Status
Terminated
People taking part
164 people enrolled
Started
28 Aug 2019
Ended
1 Jan 2024
Type of study
Observational
Treatments tested
  • FFR-CT
  • FFRangio™
Record updated
7 August 2024
Why it stopped
Slow enrolment during the COVID pandemics

Who can take part

Age
18 years and older
Sex
Women and men
Healthy volunteers
Cannot take part

The registry criteria, word for word

Show all 22 criteriaShow less

Who can take part

  • ≥18 years old patients
  • Presenting a rise and/or fall of high-sensitive cardiac troponins T (hs-cTnt) values measured in Centre Hospitalier Universitaire Vaudois (CHUV) on at least 2 timepoints with at least one value above the 99th percentile of the upper range limit (URL) and with at least one of the following:
  • Symptoms of ischemia
  • New or presumed new significant ST-segment-T wave (ST-T) changes
  • Informed consent signed
  • Presumed availability for follow-up up to 1 year (i.e. patients only transiting through Switzerland for travel purpose are de facto excluded)
  • Was transferred from CHUV Emergency Department to the CHUV Cardiology Service according to the fast-track institutional procedure

Who cannot take part

  • Patients with prior coronary artery bypass grafting (CABG)
  • Life-threatening arrhythmias or cardiac arrest
  • Mechanical complications of myocardial infarction
  • Acute heart failure
  • Estimated glomerular filtration rate (eGFR) of <45 ml/min
  • Patient with known severe heart failure (i.e Ejection fraction of left ventricle of <30%)
  • STEMI patients
  • Presence of very high-risk criteria:
  • Hemodynamic instability or cardiogenic shock
  • Recurrent or ongoing chest pain refractory to medical treatment
  • Recurrent dynamic ST-T wave changes, particularly with intermittent ST-elevation
  • Pregnant and breast-feeding women (women of child bearing potential must have a negative urine or blood pregnancy at screening)
  • Contra-indication to beta-blocker and/or nitroglycerin
  • Patients transferred from another hospital where diagnosis was made using a troponin dosage other than hs-cTnT
  • Patient incapable of judgement or under tutelage

This trial has no sites in United States.

It has sites in one country. Choose a country to see its sites.

About the trial

What the trial wants to find out

The present study is a monocentric, observational, single arm, study, with the aim to determinate the ability of FFR-CT to exclude or confirm the presence of hemodynamically significant coronary stenosis, compared to coronary angiography in high-risk acute coronary syndrome patients.

The group in the trial

  • High-risk ACS patients

    High-risk ACS patients admitted to the emergency departement witch chest pain.

    Treatment: FFR-CT and FFRangio™

Data and sources

Registry record
Listed on ClinicalTrials.gov.
Official title
Ability of FFR-CT to Detect the Absence of Hemodynamically Significant Lesions in Patients With High-risk Acute Coronary Syndrome Admitted in the Emergency Department With Chest Pain: a Diagnostic Accuracy Prospective Study
Record updated
7 August 2024