Active-AMI: Investigating the Role of Active Versus Chronic Coronary Artery Calcification on Acute Myocardial Infarct

Sponsor
National Heart Centre Singapore (Other)
Overall Status
Completed
CT.gov ID
NCT03712020
Collaborator
Singapore General Hospital (Other)
15
52.9

Study Details

Study Description

Brief Summary

The investigator aims to determine the feasibility of understanding the process of active versus chronic calcification using Na-F PET scan and contrast CT scan of the heart.

The patient cohort will consist of patients diagnosed to have either acute coronary syndrome (ACS) (comprising of either unstable angina pectoris or acute myocardial infarction) or suspected coronary artery disease (CAD). The PET images will be compared to images obtained from standard contrast CT of the coronaries. This study will provide additional insights about active versus non-active calcification amongst patients with ACS or suspected CAD.

Condition or Disease Intervention/Treatment Phase

    Detailed Description

    Contemporary techniques used to visualize coronary artery calcification include standard non-contrast computed tomography (CT) of the coronaries measuring amount of calcium deposition in the coronaries, contrast CT and more recently, using sodium-fluoride (Na-F) positron emission tomography (PET) to image coronary and valvular calcification. Na-F has been shown to accumulate in areas of active calcification where contrast CT of the heart has been shown to accumulate in areas of chronic calcification. The investigator aims to determine the feasibility of understanding the process of active versus chronic calcification using Na-F PET scan and contrast CT scan of the heart.

    The patient cohort will consist of patients diagnosed to have either acute coronary syndrome (ACS) (comprising of either unstable angina pectoris or acute myocardial infarction) or suspected coronary artery disease (CAD). The PET images will be compared to images obtained from standard contrast CT of the coronaries. This study will provide additional insights about active versus non-active calcification amongst patients with ACS or suspected CAD.

    Study Design

    Study Type:
    Observational
    Actual Enrollment :
    15 participants
    Observational Model:
    Other
    Time Perspective:
    Prospective
    Official Title:
    Investigating the Role of Active Versus Chronic Coronary Artery Calcification on Acute Myocardial Infarct: A Novel Pilot Study Using Sodium-Fluoride Positron Emission Tomography (PET) and Computed Tomography (CT) Techniques
    Actual Study Start Date :
    Feb 1, 2015
    Actual Primary Completion Date :
    Mar 1, 2016
    Actual Study Completion Date :
    Jul 1, 2019

    Outcome Measures

    Primary Outcome Measures

    1. Coronary artery calcification will be determined by Tc-99m MDP SPECT-CT and Na-F PET-CT [12 months]

      Na-F has been shown to accumulate in areas of active calcification where contrast CT of the heart has been shown to accumulate in areas of chronic calcification. We aim to determine the feasibility of understanding the process of active versus chronic calcification using Na-F PET scan and contrast CT scan of the heart.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    50 Years to 89 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Patients with a diagnosis of acute coronary syndrome

    • Patients referred for workup of suspected coronary syndrome

    • Able to provide written, informed consent.

    • Age between (including) 50 years to 89 years old.

    Exclusion Criteria:
    • Pregnant & Lactating women

    • weight <=180kg

    Contacts and Locations

    Locations

    No locations specified.

    Sponsors and Collaborators

    • National Heart Centre Singapore
    • Singapore General Hospital

    Investigators

    • Principal Investigator: Angela Koh, National Heart Centre

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    National Heart Centre Singapore
    ClinicalTrials.gov Identifier:
    NCT03712020
    Other Study ID Numbers:
    • 2014/2183
    First Posted:
    Oct 19, 2018
    Last Update Posted:
    Jun 24, 2020
    Last Verified:
    Jun 1, 2020
    Individual Participant Data (IPD) Sharing Statement:
    Undecided
    Plan to Share IPD:
    Undecided
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Jun 24, 2020