Coronary computed tomography angiography vs functional stress imaging to triage chest pain in the emergency room?

被引：0

作者：

Berry, Colin ^{[1
,2
,3
]}

机构：

[1] NHS Golden Jubilee, West Scotland Heart & Lung Ctr, Glasgow, Scotland

[2] Univ Glasgow, British Heart Fdn, Glasgow Cardiovasc Res Ctr, Sch Cardiovasc & Metab Hlth, Glasgow, Scotland

[3] Univ Glasgow, British Heart Fdn, Glasgow Cardiovasc Res Ctr, Sch Cardiovasc & Metab Hlth, 126 Univ Pl, Glasgow G12 8TA, Scotland

来源：

VASCULAR PHARMACOLOGY | 2024年 / 154卷

基金：

英国医学研究理事会;

关键词：

Chest pain; Coronary computed tomography angiography; Functional stress imaging; Emergency department; MANAGEMENT; DISEASE;

D O I：

10.1016/j.vph.2023.107272

中图分类号：

R9 [药学];

学科分类号：

1007 ;

摘要：

In patients with a suspected acute coronary syndrome, non-elevated (or uncertain) (NSTE-ACS) high sensitivity cardiac troponin, no ECG changes and no recurrence of chest pain, incorporating a coronary computed tomography angiogram (CCTA) or a non-invasive functional stress imaging test as part of the initial workup should be considered (Class IIA, Level of Evidence A). There are pros and cons with each diagnostic approach. CCTA imaging has high sensitivity for detecting coronary atherosclerosis but may not provide a diagnosis since most patients do not have obstructive coronary disease. Functional imaging is useful to explain symptoms and detect obstructive coronary artery disease, but is not useful to diagnose atherosclerosis.

引用

页数：4

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