ER heart attack care: should both blood thinners be given right away?
NCT ID NCT07039149
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study reviews medical records of 200 adults who came to the ER with a heart attack or unstable chest pain. It compares what happens when patients get two blood thinners (aspirin plus another) in the ER versus waiting to give the second one in the catheterization lab. The goal is to see if earlier treatment reduces major heart and brain events without causing dangerous bleeding.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- dual antiplatelet therapy (aspirin plus a second blood thinner)
- What this could lead to
- If successful, this could show that giving both blood thinners earlier in the ER reduces heart-related complications without increasing major bleeding.
- What could go wrong
- This is a small, observational chart review, not a randomized trial. Results may not prove cause and effect, and bleeding risks remain a concern.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 200 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2025
- Expected to finish
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Nov 2026
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.
Who is studied
The study will enroll adult patients, men and women, who present to the emergency department (ED) with acute coronary syndrome (ST segment elevation myocardial infarction, non ST segment elevation myocardial infarction, and unstable angina) and who are prescribed aspirin in the ED and a second oral antiplatelet medication either in the ED (not according to recent guidelines) or upon identification of the coronary anatomy in the cath lab (based on recent guidelines). Incidence of bleeding and other cardiovascular events in these patients based in timing of administering the antiplatelet therapy.
- 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: * Adult patients * Presenting with acute coronary syndrome (ST segment elevation myocardial infarction, non ST segment elevation myocardial infarction, and unstable angina). * Antiplatelet medication (s) prescribed during index admission to hospital. * Willingness of the patient to be called for follow up up to 1 year after index hospitalization. Exclusion Criteria: * Non cardiac chest pain. * No administration of antiplatelet agents during hospitalization. * Refusal of contact for follow up.
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Genom att skicka in godkänner du våra Användarvillkor
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 study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
2 sites. 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
Show contact details
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Genom att skicka in godkänner du våra Användarvillkor
Study contacts
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Contact
Email: •••••@•••••
Locations
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Istishari Hospital
NOT_YET_RECRUITINGAmman, 11184, Jordan
Contact Email: •••••@•••••
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Jordan University Hospital
RECRUITINGAmman, 11180, Jordan
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- Drinking water may shield kidneys during emergency heart procedures
- Can we predict and improve outcomes of major bleeding on blood thinners?