Multidetector-row cardiac CT: diagnostic value of calcium scoring and CT coronary angiography in patients with symptomatic, but atypical, chest pain

2004 ◽  
Vol 14 (2) ◽  
pp. 169-177 ◽  
Author(s):  
Christopher Herzog ◽  
Martina Britten ◽  
Joern O. Balzer ◽  
M. G. Mack ◽  
Stefan Zangos ◽  
...  
Keyword(s):  
Chest Pain ◽  
Coronary Angiography ◽  
Cardiac Ct ◽  
Diagnostic Value ◽  
Ct Coronary Angiography ◽  
Calcium Scoring ◽  
Atypical Chest Pain ◽  
Multidetector Row

scholarly journals 180 Current clinical usage of CT coronary angiography. Emerging indications and the scourge of ‘atypical chest pain’

2021 ◽  
Author(s):  
Conrad Murphy ◽  
Hatef Mansoubi ◽  
Bhavana Reddy ◽  
Prina Rajani ◽  
Mushbiq Manzoor ◽  
...  
Keyword(s):  
Chest Pain ◽  
Coronary Angiography ◽  
Ct Coronary Angiography ◽  
Atypical Chest Pain

scholarly journals Downstream testing after CT coronary angiography: time for a rethink?

Open Heart ◽  
2021 ◽  
Vol 8 (1) ◽  
pp. e001597
Author(s):  
Gareth Morgan-Hughes ◽  
Michelle Claire Williams ◽  
Margaret Loudon ◽  
Carl A Roobottom ◽  
Alice Veitch ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Chest Pain ◽  
Coronary Artery ◽  
Coronary Angiography ◽  
Communication Systems ◽  
Ct Coronary Angiography ◽  
Second Line ◽  
Recent Onset ◽  
Line Test ◽  
Artery Disease

ObjectiveWe surveyed UK practice and compliance with the National Institute for Health and Care Excellence (NICE) ‘recent-onset chest pain’ guidance (Clinical Guideline 95, 2016) as a service quality initiative. We aimed to evaluate the diagnostic utility and efficacy of CT coronary angiography (CTCA), NICE-guided investigation compliance, invasive coronary angiography (ICA) use and revascularisation.MethodsA prospective analysis was conducted in nine UK centres between January 2018 and March 2020. The reporter decided whether the CTCA was diagnostic. Coronary artery disease was recorded with the Coronary Artery Disease–Reporting and Data System (CAD-RADS). Local electronic records and picture archiving/communication systems were used to collect data regarding functional testing, ICA and revascularisation. Duplication of coronary angiography without revascularisation was taken as a surrogate for ICA overuse.Results5293 patients (mean age, 57±12 years; body mass index, 29±6 kg/m²; 50% men) underwent CTCA, with a 96% diagnostic scan rate. 618 (12%) underwent ICA, of which 48% (298/618) did not receive revascularisation. 3886 (73%) had CAD-RADS 0–2, with 1% (35/3886) undergoing ICA, of which 94% (33/35) received ICA as a second-line test. 547 (10%) had CAD-RADS 3, with 23% (125/547) undergoing ICA, of which 88% (110/125) chose ICA as a second-line test, with 26% (33/125) leading to revascularisation. For 552 (10%) CAD-RADS 4 and 91 (2%) CAD-RADS 5 patients, ICA revascularisation rates were 64% (221/345) and 74% (46/62), respectively.ConclusionsWhile CTCA for recent-onset chest pain assessment has been shown to be a robust test, which negates the need for further investigation in three-quarters of patients, subsequent ICA overuse remains with almost half of these procedures not leading to revascularisation.

The Value of Dual-source 64-Slice CT Coronary Angiography in the Assessment of Patients Presenting to an Acute Chest Pain Service

2010 ◽  
Vol 19 (4) ◽  
pp. 213-218 ◽  
Author(s):  
Mark Hansen ◽  
Jonathan Ginns ◽  
Sujith Seneviratne ◽  
Richard Slaughter ◽  
Manuja Premaranthe ◽  
...  
Keyword(s):  
Chest Pain ◽  
Coronary Angiography ◽  
Acute Chest Pain ◽  
Ct Coronary Angiography ◽  
Dual Source

scholarly journals The Diagnostic Value of Ultra-Troponin I in Patients Admitted to Emergency Department with Chest Pain and Performed Coronary Angiography

2015 ◽  
Vol 25 (1) ◽  
Author(s):  
Fatma Demet İnce ◽  
Nese Dogan ◽  
Nihan Kahya Eren ◽  
Hatice Solmaz ◽  
Saliha Aksun ◽  
...  
Keyword(s):  
Emergency Department ◽  
Chest Pain ◽  
Coronary Angiography ◽  
Troponin I ◽  
Diagnostic Value
Sign in / Sign up

Export Citation Format

Share Document