Cardiac computed tomography for the evaluation of the acute chest pain syndrome: state of the art.
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.
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.
Christopher L
CL
Schlett
Cardiac MR PET CT Program, Massachusetts General Hospital, Harvard Medical School, 165 Cambridge St, Suite 400, Boston, MA 02114, USA.
Udo
U
Hoffmann
Department of Cardiology and Cardiovascular Medicine University Hospital of Tübingen, Hoppe-Seyler-Straβe 3, Tübingen 72076, Germany.
Tobias
T
Geisler
Department of Diagnostic and Interventional Radiology, University Hospital of Tübingen, Hoppe-Seyler-Straβe 3, Tübingen 72076, Germany.
Konstantin
K
Nikolaou
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.
Fabian
F
Bamberg
D054058:Acute Coronary Syndrome / Q000000981:diagnostic imaging*; D017023:Coronary Angiography / Q000191:economics; D003362:Cost-Benefit Analysis; D003937:Diagnosis, Differential; D006801:Humans; D018579:Patient Selection; D011379:Prognosis; D014057:Tomography, X-Ray Computed / Q000191:economics; D014218:Triage
Acute chest pain syndrome; Acute coronary syndrome; CCTA; Cardiac computed tomography