Chest Pain Evaluation in the Emergency Department: Can MDCT Provide a Comprehensive Evaluation?
作者： Charles S. White , Dick Kuo , Mark Kelemen , Vineet Jain , Amy Musk
DOI: 10.2214/AJR.185.2.01850533
关键词: Chest pain 、 Thorax 、 Emergency department 、 Radiology 、 Pulmonary embolism 、 Ejection fraction 、 Medicine 、 Pneumonia 、 Physical examination 、 Myocardial infarction 、 Radiology Nuclear Medicine and imaging 、 General Medicine
摘要: OBJECTIVE. The purpose of our study was to determine whether MDCT can provide a comprehensive assessment cardiac and noncardiac causes chest pain in stable emergency department patients.SUBJECTS AND METHODS. Patients with who presented the without definitive findings acute myocardial infarction based on history, physical examination, ECG were recruited immediately after initial clinical assessment. For each patient, physician asked CT scan would normally have been ordered grounds (e.g., exclude pulmonary embolism). Each consenting patient underwent enhanced ECG-gated 16-MDCT. Ten phases reconstructed. images evaluated for (coronary calcium stenosis, ejection fraction, wall motion perfusion) significant (pulmonary embolism, dissection, pneumonia, so forth) pain. Correlation made between presence ...
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