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The goal of this randomized trial is to compare the diagnostic yield of a screen-like early diagnosis strategy to usual primary care to detect coronary artery disease (CAD), atrial fibrillation (AF), heart failure (HF), and/or valvular heart disease (VHD) in community people aged 50-80 years who participate in the Utrecht Health Project.
The diagnosis strategy consists of a questionnaire with questions related to symptoms suggestive of CAD, AF or HF, a focused physical examination, laboratory testing, electrocardiography, and echocardiography.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Early diagnosis strategy | Experimental | RED-CVD early diagnosis questionnaire, physical examination, laboratory testing, electrocardiography, echocardiography |
|
| Usual primary care | No Intervention | No measurements |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Early diagnosis strategy | Diagnostic Test | RED-CVD early diagnosis questionnaire, physical examination, laboratory testing, electrocardiography, echocardiography |
|
| Measure | Description | Time Frame |
|---|---|---|
| Coronary artery disease | 1 year | |
| Atrial fibrillation | 1 year | |
| Heart failure | 1 year | |
| Valvular heart disease | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Echocardiographic abnormalities | 1 year | |
| Health-related quality of life | 1 year | |
| CVD family history and women's reproductive history |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Monika Hollander, MD PhD | UMC Utrecht | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| UMC Utrecht | Utrecht | 3584CX | Netherlands |
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| ID | Term |
|---|---|
| D003324 | Coronary Artery Disease |
| D001281 | Atrial Fibrillation |
| D006333 | Heart Failure |
| D006349 | Heart Valve Diseases |
| D004194 | Disease |
| D002318 | Cardiovascular Diseases |
| ID | Term |
|---|---|
| D003327 | Coronary Disease |
| D017202 | Myocardial Ischemia |
| D006331 | Heart Diseases |
| D001161 | Arteriosclerosis |
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| 1 year |
| Cardiovascular risk profile | 1 year |
| Costs | 1 year |
| D001157 |
| Arterial Occlusive Diseases |
| D014652 | Vascular Diseases |
| D001145 | Arrhythmias, Cardiac |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |