Chest pain CT in the Emergency Department: evaluating the coronary arteries even when not specifically asked for?

Acta Radiologica
Fabian MorsbachHatem Alkadhi

Abstract

Background Computed tomography (CT) for excluding acute aortic syndrome (AAS) and pulmonary embolism (PE) simultaneously in patients with chest pain could be used to exclude coronary artery disease (CAD). Purpose To evaluate the frequency of further testing for CAD in patients receiving a CT in the emergency department (ED) for simultaneous evaluation for AAS and PE. Material and Methods This retrospective study was conducted over a three-year period including all patients with acute chest pain visiting our ED. All patients were included that received an electrocardiography (ECG)-gated CT of the entire chest enquiring simultaneously for AAS and PE. Those patients were followed up for 30 days after their initial ED visit whether they received further testing for CAD. Results Within the study period, a total of 157 patients with acute chest pain received a chest pain CT for simultaneous evaluation of both AAS and PE. Image quality was deemed sufficient to evaluate the coronary arteries in 80% of the patients. Thirty-seven patients (24%) underwent additional testing for CAD within 30 days of their ED visit, including catheter coronary angiography (n = 25), cardiac-stress single-photon emission-CT (n = 6), and cardiac magnetic reso...Continue Reading

References

Feb 1, 1983·Journal of the American College of Cardiology·G A Diamond
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Mar 16, 2011·Annals of Internal Medicine·Moritz Wyler von BallmoosHatem Alkadhi
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May 18, 2016·Critical Pathways in Cardiology·Robert F HamburgerDavid E Winchester
Apr 10, 2017·The American Journal of Emergency Medicine·Ricarda HinzpeterHatem Alkadhi

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Citations

Mar 2, 2021·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Jane P KoBarry Hutchinson

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Software Mentioned

Syngo
Centricity RIS - I

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