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Citalopram for Sx/Util in Acute Coronary Syndrome Patients

Information source: Henry Ford Health System
ClinicalTrials.gov processed this data on August 23, 2015
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Acute Coronary Syndrome

Intervention: Citalopram (Drug)

Phase: Phase 1/Phase 2

Status: Not yet recruiting

Sponsored by: Henry Ford Health System

Official(s) and/or principal investigator(s):
Mark W Ketterer, PhD, Principal Investigator, Affiliation: Henry Ford Health System

Summary

Symptoms (chest pain, shortness of breath, dizziness, etc.) and treatment usage (doctor or emergency room visits, testing, hospital days, etc.) in patients with Acute Coronary Syndromes are known to be related to emotional distress (Anxiety, Depression and Anger). In addition, behavioral treatment of emotional distress is known to decrease symptoms, and treatment usage. The present protocol tests whether the addition of a medication known to reduce emotional distress can also reduce symptoms and treatment usage. This will done by recruiting patients with ACS during their hospital stay, randomizing them to receive citalopram or placebo, and then examining their symptoms and treatment usage at 6 months.

Clinical Details

Official title: Citalopram for Sx/Util in Acute Coronary Syndrome Patients

Study design: Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Double Blind (Subject, Outcomes Assessor), Primary Purpose: Treatment

Primary outcome:

Frequency of ACS Symptoms

Treatment usage

Secondary outcome: Emotional Distress

Eligibility

Minimum age: 18 Years. Maximum age: N/A. Gender(s): Both.

Criteria:

Inclusion Criteria:

- Admission to hospital for chest pain/dyspnea, typical ECG changes plus positive

tropinins Exclusion Criteria:

- age less than 18

- cognitive impairment (per MMSE)

- geographic unavailability for followup

- unwillingness to participate

- illiteracy

- Hx cardiac transplant

- untreated hypothyroidism

- hepatic dysfunction

- prior adverse reaction to citalopram

- history of Bipolar Disorder

- untreated Sleep Apnea

- chronic steroid therapy

- active substance abuse (e. g., within past year)

- near term mortal illness

- current mental health treatment

- signitificant suicide risk

Locations and Contacts

Henry Ford Hospital, Detroit, Michigan 48202, United States
Additional Information

Starting date: January 2018
Last updated: March 17, 2015

Page last updated: August 23, 2015

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