Patient-centered Treatment of Anxiety after Low-Risk Chest Pain in the Emergency Room
P
Paul Musey, MD
Primary Investigator
Overview
The purpose of this study is to learn about patients that present to the Emergency Department (ED) with low risk chest pain and anxiety. This study will compare how well different treatment options work for patients with anxiety symptoms.
Description
Participants will be asked to complete some enrollment questionnaires on their symptoms, medical history, and quality of life. Researchers will contact them every three months for one year. Participants will be randomly assigned to a treatment- either follow-up care through their primary doctor, a self-help anxiety management program, or anxiety management program with a therapist.
Eligibility
You may be eligible for this study if you meet the following criteria:
-
Conditions:
chest pain, anxiety
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Age: Between 18 Years - 100 Years
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Gender: All
Inclusion Criteria:
- Adult Emergency Department patients
- Chief complaint of chest pain or similar chief complaint leading to a standard of care diagnostic protocol to rule out possible acute coronary syndrome.
- Discharged from the emergency department or observation unit
- Moderate to severe anxiety as defined by a GAD-7 score ≥ 815-17or a PHQ panic screener score ≥ 218,19
- Expected to be discharged from the ED or only undergo observation <24 hours.
Exclusion Criteria:
- HEART Score ≥ 7
- New diagnosis of coronary artery disease adjudicated by the PI to be high risk
- Traumatic reason for chest pain
- Those admitted to the hospital (inpatient status) as part of their ED presentation (those placed in the observation unit for planned observation less than <24 hours are eligible)
- Active psychosis or behavioral issues requiring psychiatric monitoring or consultation of psychiatry for psychosis, schizophrenia, or suicidal ideation
- Hemodynamic instability as assessed by the treating provider
- Issues likely to affect follow up, including prisoners and homelessness
- Inability to understand and speak English to participate in telehealth therapy sessions and peer support.
Updated on
29 Apr 2024.
Study ID: 10296, EMER-IIR-PACER
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