Validation of Appropriate Use Criteria for Coronary Computed Tomographic Angiography for Chest Pain Evaluation in a Tertiary Care Emergency Room

2020 ◽  
Vol 35 (3) ◽  
pp. 193-197
Author(s):  
Getu Teressa ◽  
Jahan Manjur ◽  
Marissa Ciuffo ◽  
Pamela Noack ◽  
Vlad A. Radulescu ◽  
...  
Keyword(s):  
Chest Pain ◽  
Emergency Room ◽  
Tertiary Care ◽  
Computed Tomographic Angiography ◽  
Appropriate Use Criteria ◽  
Appropriate Use ◽  
Coronary Computed Tomographic Angiography ◽  
Computed Tomographic ◽  
Pain Evaluation ◽  
Tomographic Angiography

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

2014 ◽  
Vol 12 (2) ◽  
pp. 241-253 ◽  
Author(s):  
Michael K Cheezum ◽  
Marcio S Bittencourt ◽  
Edward A Hulten ◽  
Benjamin M Scirica ◽  
Todd C Villines ◽  
...  
Keyword(s):  
Emergency Room ◽  
State Of The Art ◽  
Computed Tomographic Angiography ◽  
Coronary Computed Tomographic Angiography ◽  
Computed Tomographic ◽  
Tomographic Angiography

scholarly journals Takotsubo Cardiomyopathy in a 22-Year-Old Single-Ventricle Patient

2016 ◽  
Vol 43 (1) ◽  
pp. 61-64 ◽  
Author(s):  
Gwendolyn Rose Derk ◽  
Jamil Aboulhosn ◽  
Leigh C. Reardon
Keyword(s):  
Chest Pain ◽  
Takotsubo Cardiomyopathy ◽  
Single Ventricle ◽  
Computed Tomographic Angiography ◽  
Coronary Computed Tomographic Angiography ◽  
Computed Tomographic ◽  
History Of ◽  
Tomographic Angiography ◽  
Invasive Evaluation ◽  
Rule Out

We report a highly unusual case of a 22-year-old woman with single-ventricle anatomy and a history of Fontan palliation who developed takotsubo cardiomyopathy. To our knowledge, takotsubo cardiomyopathy has not previously been described in a patient with single-ventricle anatomy, or more generally in any patient with congenital heart disease. The patient presented at our clinic for urgent examination after a 2-day history of chest pain that had begun upon the death of her dog. Invasive evaluation was refused by the patient; instead, she underwent electrocardiogram-gated coronary computed tomographic angiography, to rule out obstructive coronary disease. A physician who suspects takotsubo cardiomyopathy in a patient should look for new-onset chest pain and dyspnea coupled with these features: immediate onset of segmental akinesia in the midventricular or apical aspects of the heart, elevation of brain natriuretic peptide level 12 to 24 hours after onset of akinesia, elevation of troponin level 24 to 48 hours after onset, and disappearance of the segmental akinesia a few days after onset.

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