Prevalence of Pulmonary Embolism in Patients With Syncope (PESY)
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Purpose
All patients consecutively referred with the first episode of transient and short-lasting loss of consciousness will have a diagnostic workup for the assessment of the most common causes of syncope, and will be evaluated for the presence of pulmonary embolism (PE) with the use of an internationally accepted algorithm including a pre-test clinical probability (PTP according to the method of Wells et al.) and a high-sensitivity quantitative D-dimer assay. If the PTP is low and D-dimer negative, PE will be excluded. All other patients will undergo confirmatory diagnostic tests (either computerized tomography or ventilation/perfusion lung scanning) in order to confirm or rule out the presence of PE.
| Condition | Intervention |
|---|---|
|
Syncope Pulmonary Embolism |
Other: Lung CT or V/Q scanning in patients with a high pre-test clinical probability of PE and/or a positive D-dimer |
| Study Type: | Interventional |
| Study Design: | Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Diagnostic |
| Official Title: | The Prevalence of Pulmonarym Embolism in Patients With the First Episode of Syncope |
- To assess the prevalence of PE in a large series of consecutive patients presenting with the first episode of syncope [ Time Frame: Up to 48 hours after hospital admission ] [ Designated as safety issue: No ]
- To assess the prevalence of pulmonary embolism in patients with apparently unexplained syncope [ Time Frame: Up to one week after hospital admission ] [ Designated as safety issue: No ]
- To assess the prevalence of pulmonary embolism in patients with syncope with a high pre-test probability of PE and/or a positive D-dimer [ Time Frame: Up to 48 hours after admission ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 554 |
| Study Start Date: | February 2012 |
| Estimated Study Completion Date: | February 2014 |
| Estimated Primary Completion Date: | February 2014 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: First episode of loss of consciousness | Other: Lung CT or V/Q scanning in patients with a high pre-test clinical probability of PE and/or a positive D-dimer |
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- first episode of syncope
Exclusion Criteria:
- previous episodes of syncope
- ongoing anticoagulation
- age younger than 18 years
- pregnancy
Contacts and Locations| Contact: Paolo Prandoni, MD | 0039-049-8212656 | paolo.prandoni@unipd.it |
| Italy | |
| Clinica Medica 2 University of Padua | Recruiting |
| Padua, Italy, 35128 | |
| Contact: Paolo Prandoni, MD 0069-049-8212656 | |
| Sub-Investigator: Sofia Barbar, MD | |
More Information
No publications provided
| Responsible Party: | Paolo Prandoni, Professor, University of Padova |
| ClinicalTrials.gov Identifier: | NCT01797289 History of Changes |
| Other Study ID Numbers: | 52823P |
| Study First Received: | February 20, 2013 |
| Last Updated: | February 22, 2013 |
| Health Authority: | Italy: Ethics Committee |
Keywords provided by University of Padova:
|
syncope pulmonary embolism |
Additional relevant MeSH terms:
|
Syncope Embolism Pulmonary Embolism Embolism and Thrombosis Vascular Diseases Cardiovascular Diseases Lung Diseases |
Respiratory Tract Diseases Unconsciousness Consciousness Disorders Neurobehavioral Manifestations Neurologic Manifestations Nervous System Diseases Signs and Symptoms |
ClinicalTrials.gov processed this record on May 19, 2013