EMERGENCY RADIOLOGY SPECIAL FEATURE: REVIEW ARTICLE Chest pain: coronary CT in the ER

摘要: Cardiac CT has developed into a robust clinical tool during the past 15 years. Of fields in which potential of cardiac raised more interest is chest pain acute settings. In fact, possibility to exclude with high reliability obstructive coronary artery disease (CAD) patients at low-to-intermediate risk great both from standpoint and management standpoint. Several other modalities, or without imaging, have been used decades settings new onset for diagnostic prognostic assessment CAD. Each one advantages disadvantages. Most imaging modalities also focus on inducible ischaemia guide referral invasive angiography. The advent introduced practice paradigm, being most accurate non-invasive method identification exclusion Furthermore, detection subclinical CAD plaque offer opportunity improve stratification. Moreover, recent advances latest generation scanners allow combining anatomical functional by stress myocardial perfusion. role already important will become progressively coming