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MDCT pp 263-268 | Cite as

Coronary CTA in Acute Chest Pain

  • Ian S. Rogers
  • Udo Hoffmann

Abstract

It has been estimated that over 5 million patients present to emergency departments (EDs) in the United States with acute chest pain each year [1], Although rapid triage of these patients is crucial for optimizing treatment and improving prognosis, an effective strategy for diagnosis remains elusive in a majority of these patients. The current strategies for triage of the large subset of patients who present with acute chest pain but have normal or unchanged electrocardiograms (ECG) and negative initial cardiac enzymes provide inadequate risk stratification. This stems from the fact that the predictive value of symptom history [2] as well single variables such as patient age, sex, cardiac risk factors, and biochemical markers for adverse outcomes is limited [3, 4]. Moreover, symptoms of chest pain from cardiac etiologies are often similar to those from non-cardiac etiologies, further complicating accurate diagnosis [5].

Keywords

Chest Pain Acute Coronary Syndrome Positive Predictive Value Acute Chest Pain Regional Left Ventricular Function 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Italia 2008

Authors and Affiliations

  • Ian S. Rogers
    • 1
    • 2
    • 3
  • Udo Hoffmann
    • 2
  1. 1.Division of CardiologyMassachusetts General Hospital Harvard Medical SchoolBostonUSA
  2. 2.Department of RadiologyMassachusetts General Hospital Harvard Medical SchoolBostonUSA
  3. 3.School of Public HealthBostonUSA

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