New approach for diagnosing chronic coronary syndrome in primary care
Chronic Coronary Syndrome in Swedish Primary Care
This study is testing a new way to diagnose chronic coronary artery disease in primary care by using several heart tests on the same day to see if it helps patients get faster results and better care.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 500 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Region Östergötland Academic / other |
| Drugs / interventions | radiation |
| Locations | 3 sites (Linköping and 2 other locations) |
| Trial ID | NCT05782582 on ClinicalTrials.gov |
What this trial studies
This clinical trial aims to evaluate a novel package investigation procedure for diagnosing chronic coronary artery disease (CAD) in primary care settings. The procedure combines myocardial perfusion imaging, echocardiography, and heart CT scans performed on the same day, compared to the standard investigation methods. The study will assess whether this new approach provides faster results, is more cost-effective, and improves patient outcomes such as adherence to treatment and mental well-being over time. The trial will also explore the impact of this method on the risk of future cardiac events.
Who should consider this trial
Good fit: Ideal candidates are individuals seeking primary care for symptoms indicative of a medium probability of chronic coronary artery disease.
Not a fit: Patients with acute coronary syndrome, previous myocardial infarction, or those with certain cardiac conditions will not benefit from this study.
Why it matters
Potential benefit: If successful, this approach could lead to quicker and more accurate diagnoses of coronary artery disease, improving patient care and outcomes.
How similar studies have performed: While similar imaging approaches have been explored, this specific package investigation method is novel and has not been extensively tested in prior studies.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: • People who seek primary care for symptoms judged to be compatible with a medium probability (PTP\> 15) for symptomatic chronic coronary artery disease. Exclusion Criteria: * Suspicion of acute coronary syndrome when care is sought. * Previously diagnosed acute myocardial infarction * Revascularization with PCI/CABG * Proven reversible ischemia according to myocardial scintigraphy. * Left Bundle Branch Block (LBBB). * Ventricular pacemaker * People whose meaning due to illness, mental disorder, weakened state of health or any other similar condition cannot be obtained, to be included in a research project. * Insufficient understanding of spoken and written Swedish language.
Where this trial is running
Linköping and 2 other locations
- Department of Clinical Physiology, Linköping University Hospital, Linköping — Linköping, Sweden (Recruiting)
- Hjärthälsan Linköping AB — Linköping, Sweden (Recruiting)
- Department of Clinical Physiology, Vrinnevi Hospital — Norrköping, Sweden (Recruiting)
Study contacts
- Principal investigator: Fredrik Iredahl, MD, PhD — IMH/Community Medicine/Linkoping university
- Study coordinator: Fredrik Iredahl, MD PhD
- Email: fredrik.iredahl@liu.se
- Phone: +46101030000
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.