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Radiol Clin North Am. 2015 Mar;53(2):297-305. doi: 10.1016/j.rcl.2014.11.007.

Cardiac computed tomography for the evaluation of the acute chest pain syndrome: state of the art.

Author information

1
Department of Diagnostic and Interventional Radiology, University Hospital Heidelberg, Im Neuenheimer Feld 110, Heidelberg 69120, Germany; Cardiac MR PET CT Program, Massachusetts General Hospital, Harvard Medical School, 165 Cambridge St, Suite 400, Boston, MA 02114, USA.
2
Cardiac MR PET CT Program, Massachusetts General Hospital, Harvard Medical School, 165 Cambridge St, Suite 400, Boston, MA 02114, USA.
3
Department of Cardiology and Cardiovascular Medicine University Hospital of Tübingen, Hoppe-Seyler-Straβe 3, Tübingen 72076, Germany.
4
Department of Diagnostic and Interventional Radiology, University Hospital of Tübingen, Hoppe-Seyler-Straβe 3, Tübingen 72076, Germany.
5
Cardiac MR PET CT Program, Massachusetts General Hospital, Harvard Medical School, 165 Cambridge St, Suite 400, Boston, MA 02114, USA; Department of Diagnostic and Interventional Radiology, University Hospital of Tübingen, Hoppe-Seyler-Straβe 3, Tübingen 72076, Germany. Electronic address: fabian.bamberg@med.uni-tuebingen.de.

Abstract

Coronary computed tomography angiography (CCTA) is recommended for the triage of acute chest pain in patients with a low-to-intermediate likelihood for acute coronary syndrome. Absence of coronary artery disease (CAD) confirmed by CCTA allows rapid emergency department discharge. This article shows that CCTA-based triage is as safe as traditional triage, reduces the hospital length of stay, and may provide cost-effective or even cost-saving care.

KEYWORDS:

Acute chest pain syndrome; Acute coronary syndrome; CCTA; Cardiac computed tomography

PMID:
25726995
DOI:
10.1016/j.rcl.2014.11.007
[Indexed for MEDLINE]
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