Coronary CT angiography for acute chest pain triage: Techniques for radiation exposure reduction; 128 vs. 64 multidetector CT

2011 ◽  
Vol 52 (8) ◽  
pp. 840-845 ◽  
Author(s):  
Orly Goitein ◽  
Shlomi Matetzky ◽  
Yael Eshet ◽  
David Goitein ◽  
Ashraf Hamdan ◽  
...  
Keyword(s):  
Chest Pain ◽  
Radiation Exposure ◽  
Ct Angiography ◽  
Coronary Ct Angiography ◽  
Multidetector Ct ◽  
Acute Chest Pain ◽  
Exposure Reduction ◽  
Coronary Ct

Coronary CT Angiography in Acute Chest Pain Syndromes

2010 ◽  
Vol 3 (6) ◽  
pp. 382-389
Author(s):  
Kavitha M. Chinnaiyan ◽  
Ryan D. Madder ◽  
James A. Goldstein
Keyword(s):  
Chest Pain ◽  
Ct Angiography ◽  
Coronary Ct Angiography ◽  
Acute Chest Pain ◽  
Coronary Ct ◽  
Pain Syndromes

Abstract 46: Potential of Coronary CT Angiography to Optimize Medical Therapy in Patients Presenting With Acute Chest Pain

2013 ◽  
Vol 6 (suppl_1) ◽  
Author(s):  
Amit Pursnani ◽  
Christopher L Schlett ◽  
Pearl Zakroysky ◽  
Parmanand Singh ◽  
James L Januzzi ◽  
...  
Keyword(s):  
Emergency Department ◽  
Chest Pain ◽  
Secondary Prevention ◽  
Ct Angiography ◽  
Medical Therapy ◽  
Coronary Ct Angiography ◽  
Acute Chest Pain ◽  
Coronary Ct ◽  
Prevention Guidelines ◽  
Pain Patients

Background: Coronary artery disease (CAD) detected by coronary CT angiography (CCTA) independently predicts cardiovascular events. We assessed the potential of CCTA to tailor aspirin (ASA) and statin medical therapy in acute chest pain patients presenting to the emergency department. Methods: We included all patients from the Rule Out Myocardial Infarction Using Computer Assisted Tomography (ROMICAT) Trial. This prospective double-blinded observational cohort study included patients presenting with chest pain to the emergency department with low-intermediate risk for acute coronary syndrome (ACS). Patients underwent CCTA prior to admission, followed by standard evaluation. Caretakers were blinded to CCTA results. We assessed medical therapy at presentation and discharge, and determined concordance of CAD status by CCTA with medical therapy dictated by standard care. Results: Complete data on medical therapy was available in 358/368 patients (99%), (53±12 years, 61% men) of whom 7 had a contraindication to ASA and 11 to statin. Standard of care included stress testing in 71% of patients. Prescription of ASA and statins increased from admission to discharge (See Figure). At discharge, 33% of patients without CAD were on ASA and 14% were on statin. Conversely, 46% of patients with nonobstructive CAD by CCTA did not receive ASA and 59% did not receive statin at discharge. Only 66% of patients with obstructive CAD were on statin and ASA at discharge. Based on 2011 American College of Cardiology/American Heart Association secondary prevention guidelines, there was discordance between CAD status by CCTA and medical therapy in 51% of patients. Conclusions: CCTA has great potential to optimize adherence to secondary prevention guidelines in chest pain patients presenting to the emergency department.

Diagnostic performance of smartphone reading of the coronary CT angiography in patients with acute chest pain at ED

2016 ◽  
Vol 34 (9) ◽  
pp. 1794-1798 ◽  
Author(s):  
Jung Hyun Park ◽  
Yeo Koon Kim ◽  
Bohyoung Kim ◽  
Joonghee Kim ◽  
Hyuksool Kwon ◽  
...  
Keyword(s):  
Chest Pain ◽  
Ct Angiography ◽  
Diagnostic Performance ◽  
Coronary Ct Angiography ◽  
Acute Chest Pain ◽  
Coronary Ct

Efficiency and safety of coronary CT angiography compared to standard care in the evaluation of patients with acute chest pain: a Canadian study

2016 ◽  
Vol 23 (4) ◽  
pp. 345-352 ◽  
Author(s):  
Elena Peña ◽  
Fraser Rubens ◽  
Ian Stiell ◽  
Rebecca Peterson ◽  
Joao Inacio ◽  
...  
Keyword(s):  
Chest Pain ◽  
Ct Angiography ◽  
Standard Care ◽  
Coronary Ct Angiography ◽  
Acute Chest Pain ◽  
Canadian Study ◽  
Coronary Ct
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