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NCT06488105RecruitingPhase 2

Emergency Medicine Cardiovascular Risk Assessment for Lipid Disorders Trial

Initiating Preventive Care for Hyperlipidemia in the Emergency Department: The EMERALD (Emergency Medicine Cardiovascular Risk Assessment for Lipid Disorders) Trial

Source: ClinicalTrials.gov · Last updated 27 Feb 2026

Brief summary (registry, in English)

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.

Status (registry)
Recruiting
Phase (registry)
Phase 2
Study type
Interventional
Enrollment
130 (estimated)
First submitted
28 Jun 2024
Start date
5 Aug 2024
Primary completion date
30 Nov 2027
Lead sponsor
Wake Forest University Health Sciences
NCT number
NCT06488105

What you commit to

  • Study type: Interventional · Phase 2
  • Planned participants: 130
  • From 5 Aug 2024 to the primary completion date, 30 Nov 2027
  • 1 site in 1 country
  • 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.

Prior treatment

  • On a Lipid Lowering Agent (Statin, PCSK9 Inhibitor, Bempedoic Acid, Ezetimibe, Inclisiran, etc.)

Other illness

  • ST-Segment Elevation Myocardial Infarction (STEMI) Activation

Lab values

  • End-stage renal disease (ESRD) and/or glomerular filtration rate (GFR) \<30 mL/min/1.73 m2

Other

  • ST Depression \>1 mm in Contiguous Leads
  • Inability to Return for 30-day Follow-up
  • Unstable Vitals (Systolic blood pressure \<90, HR \>120 or \<50, oxygen saturation \<90%)
  • Statin Intolerance
  • Any Resulted High-Sensitivity Troponin I ≥100 ng/L
  • Liver Cirrhosis
  • Pregnancy
  • Anticipated Hospitalization
  • Life Expectancy \<1 Year
  • Transfer from Another Hospital
  • Prisoner
  • Non-English Speaking

Who the study is looking for

  • Evaluation for Acute Coronary Syndrome
  • Age 40-75 Years
  • 10-year Atherosclerotic Cardiovascular Disease (ASCVD) Risk ≥7.5% or Known Diabetes or
    • Known ASCVD:
  • Myocardial Infarction
  • Unstable Angina
  • Percutaneous Coronary Intervention
  • Coronary Artery Bypass Graft
  • Stroke
  • Transient Ischemic Attack
  • Peripheral Artery Disease

Age in the registry: 40 years to 75 years · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

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

SiteCityCountrySite status
Wake Forest University Health Sciences
Coordinator of this site? Confirm its status
Winston-SalemUnited StatesRecruiting

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