About this trial
The investigators are going to recruit hypertensive patients in the emergency department of Prince of Wales Hospital. Point-of-care ultrasound of the aorta and measurements of the aortic diameter will be obtained. Other relevant clinical data will also be obtained for analysis. The primary outcome is the number of patients with a maximum aortic diameter of ≥ 4.5 cm and/or ≥ 50% localized enlarged diameter relative to the adjacent normal segment as indicated by POCUS.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Adult patients aged ≥ 18 years attending the ED during the study period
Known history of hypertension or newly diagnosed hypertension in the ED
Disqualifiers
Known history of aortic aneurysm or dissection
Previous thoracic aortic interventions or endovascular stenting
Patients in cardiopulmonary resuscitation
Traumatic patients
Trial population
hypertensives patients attending the emergency department without known history of aortic diseases.
Trial design
Cohort
Prospective
Treatments tested in this trial
Point-of-care ultrasound
Diagnostic testPOCUS screening will be conducted to measure the maximum diameters at end diastole of the aortic root, ascending aorta, aortic arch, and descending thoracic aorta.
Treatment groups
Trial outcomes
Primary outcomes
number of patients with a dilated aorta
is the number of patients with a maximum aortic diameter of ≥ 4.5 cm and/or ≥ 50% localized enlarged diameter relative to the adjacent normal segment as indicated by POCUS
Secondary outcomes
number of patients with confirmed TAA
number of patients with confirmed TAA as verified by CTA
Other outcomes
BMI for all participants
BMI in kg/m\^2
number of CTA scans
number of CTA scans conducted for TAA confirmation
number of surgical interventions
number of surgical interventions performed among TAA patients
ICU and hospital length of stay
ICU and hospital length of stay among patients with treatment for TAA
Sponsors and contacts
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Chinese University of Hong Kong
Lead sponsor
Hospital Authority, Hong Kong
Collaborator
This trial is not recruiting at the moment. You can still explore other options: