Coronary computed tomographic angiography in the emergency room: state of the art

摘要: Chest pain is a common complaint in the emergency department often necessitating testing to exclude underlying obstructive coronary artery disease. While traditional evaluation of patients with suspected acute syndrome consists serial electrocardiograms and cardiac biomarkers, followed by selective use stress for further risk stratification, this approach costly inefficient. Recently, computed tomographic angiography (CTA) has offered an alternative high sensitivity negative predictive value disease that can rapidly identify low rates downstream major adverse events. In review, authors provide overview available data on CTA evaluating chest pain, while emphasizing its advantages disadvantages compared existing strategies. addition, we suggested algorithm how be incorporated into acu...