New heart scan combo could speed up chest pain diagnosis in ER
NCT ID NCT07140419
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at whether using a special heart scan (coronary CTA plus CT-FFR) helps doctors make better decisions for people with chest pain who are at moderate risk. About 2,000 emergency room patients will be randomly assigned to get this scan or standard care. The goal is to see if the scan reduces serious heart problems like heart attacks or strokes.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 2,000 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Apr 2026
An estimate. Start dates often move.
- Expected to finish
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Jun 2032
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Age≥18 years; 2. Within 24 hours of presenting to the emergency department (ED) with chest pain or other symptoms suggestive of coronary artery disease (CAD); 3. HEART-score \>3 (according to http://www.heartscore.nl/); 4. Signed written informed consent. Exclusion Criteria: 1. Inability to obtain informed consent; 2. Acute Coronary Syndromes (ACS) requiring urgent revascularization; 3. Known Obstructive Coronary Artery Disease (CAD) or previous PCI or CABG; 4. Concomitant severe congestive heart failure (New York Heart Association \[NYHA\] class III-IV or left ventricular ejection fraction \[LVEF\] \< 30%) or acute pulmonary edema; 5. Severe hepatic insufficiency (Child-Pugh score ≥ C, or aspartate aminotransferase \[AST\] \> 5× upper limit of normal); severe renal insufficiency (estimated glomerular filtration rate \[eGFR\] ≤ 30 mL/min/1.73 m²) or patients receiving continuous renal replacement therapy, hemodialysis, or peritoneal dialysis; 6. History of prior coronary artery bypass grafting (CABG); 7. Severe allergy to iodinated contrast agents; 8. Inability to obtain high-quality imaging; 9. Pregnant or lactating females; 10. Concomitant diseases or limited life expectancy, quality of life, or functional status precluding further CAD evaluation; 11. Any other factors that, in the investigator's judgment, make the patient unsuitable for study enrollment, completion of the study, or follow-up.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Chuanbao Li
Jinan, Shandong, 250000, China
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Other studies related to the condition(s) this trial covers.
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