Acute Chest Pain Evaluated by Coronary CT Angiography

Coronary CT angiography for acute chest pain.

Each year, more than 6 million people in the United States go to emergency departments because of acute chest pain. Some of them have coronary artery disease, but most have diseases that are unrelated to the heart or they have no discernible physiological conditions. The vast majority will undergo various diagnostic tests, and many will be held for observation and may be admitted to the hospita...

Coronary CT angiography in acute chest pain

Coronary computed tomographic angiography has become a reliable diagnostic tool in the evaluation of patients with chest pain. Studies have shown this modality to be accurate and safe when compared with conventional methods of assessing patients with chest pain. We review the recent developments with coronary computed tomographic angiography and devote particular attention toward its applicatio...

Coronary CT angiography versus standard evaluation in acute chest pain.

BACKGROUND It is unclear whether an evaluation incorporating coronary computed tomographic angiography (CCTA) is more effective than standard evaluation in the emergency department in patients with symptoms suggestive of acute coronary syndromes. METHODS In this multicenter trial, we randomly assigned patients 40 to 74 years of age with symptoms suggestive of acute coronary syndromes but with...

Triple-rule-out CT angiography for evaluation of acute chest pain and possible acute coronary syndrome.

Triple-rule-out (TRO) computed tomographic (CT) angiography can provide a cost-effective evaluation of the coronary arteries, aorta, pulmonary arteries, and adjacent intrathoracic structures for the patient with acute chest pain. TRO CT is most appropriate for the patient who is judged to be at low to intermediate risk for acute coronary syndrome (ACS) and whose symptoms may also be attributed ...

The role of coronary CT angiography in triage of patients with acute chest pain.