Opportunities and Challenges of Computed Tomography Coronary Angiography in the Investigation of Chest Pain in the Emergency Department-A Narrative Review

被引：2

作者：

Premaratne, Manuja ^{[1
,8
]}

Garcia, Gloria Patricia ^{[2
]}

Thomas, William ^{[3
]}

Hameed, Shaiq ^{[4
]}

Leadbeatter, Ashley ^{[5
]}

Htun, Nay ^{[1
]}

Dwivedi, Girish ^{[6
]}

Kaye, David M. ^{[7
]}

机构：

[1] Peninsula Hlth, Dept Med, Cardiol, Melbourne, Vic, Australia

[2] Victorian Comprehens Canc Ctr Alliance, Melbourne, Vic, Australia

[3] Peninsula Hlth, Dept Radiol, Melbourne, Vic, Australia

[4] Peninsula Hlth, Dept Med, Melbourne, Vic, Australia

[5] Peninsula Hlth, Emergency Dept, Melbourne, Vic, Australia

[6] Harry Perkins Inst Med Res, Dept Cardiol, Perth, WA, Australia

[7] Alfred Hlth, Dept Cardiol, Melbourne, Vic, Australia

[8] Peninsula Hlth, 2 Hastings Rd, Frankston, Vic 3199, Australia

来源：

HEART LUNG AND CIRCULATION | 2023年 / 32卷 / 03期

关键词：

Computed tomography coronary angiography; Acute coronary syndrome; FRACTIONAL FLOW RESERVE; CT ANGIOGRAPHY; PROGNOSTIC VALUE; ARTERY-DISEASE; DIAGNOSTIC PERFORMANCE; IMAGE QUALITY; RADIATION-EXPOSURE; CLINICAL-OUTCOMES; HEART SCORE; MULTICENTER;

D O I：

10.1016/j.hlc.2022.12.004

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Chest pain is one of the most common presentations to emergency departments. However, only 5.1% will be diagnosed with an acute coronary syndrome, representing considerable time and expense in the diagnosis and investigation of the patients eventually found not to be suffering from an acute coronary syndrome. PubMed and Medline databases were searched with variations of the terms "chest pain", "emergency department", "computed tomography coronary angiography". After review, 52 articles were included. Computed tomography coronary angiography (CTCA) is a class I endorsement for investigating chest pain in major international societal guidelines. CTCA offers excellent sensitivity and negative predictive value in identifying patients with coronary disease, with prognostic data impacting patient management. If CTCA is to be applied to all comers, it is pertinent to discuss the advantages and potential pitfalls if use in the Australian system is to be increased.

引用

页码：307 / 314

页数：8

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