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Current Concepts in Cardiac CT Angiography for Patients With Acute Chest Pain

This article presents specific examples of delayed diagnosis of acute coronary syndrome, acute aortic dissection, and pulmonary embolism resulting from evaluating patients with nonspecific acute chest pain who did not undergo immediate dedicated coronary CT angiography (CTA) or triple rule-out proto...

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Autores principales: Yoo, Seung Min, Rho, Ji Young, Lee, Hwa Yeon, Song, In Sup, Moon, Jae Youn, White, Charles S
Formato: Texto
Lenguaje:English
Publicado: The Korean Society of Cardiology 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3008823/
https://www.ncbi.nlm.nih.gov/pubmed/21217929
http://dx.doi.org/10.4070/kcj.2010.40.11.543
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author Yoo, Seung Min
Rho, Ji Young
Lee, Hwa Yeon
Song, In Sup
Moon, Jae Youn
White, Charles S
author_facet Yoo, Seung Min
Rho, Ji Young
Lee, Hwa Yeon
Song, In Sup
Moon, Jae Youn
White, Charles S
author_sort Yoo, Seung Min
collection PubMed
description This article presents specific examples of delayed diagnosis of acute coronary syndrome, acute aortic dissection, and pulmonary embolism resulting from evaluating patients with nonspecific acute chest pain who did not undergo immediate dedicated coronary CT angiography (CTA) or triple rule-out protocol (TRO). These concrete examples of delayed diagnosis may advance the concept of using cardiac CTA (i.e., dedicated coronary CTA versus TRO) to triage patients with nonspecific acute chest pain. This article also provides an overall understanding of how to choose the most appropriate examination based on the specific clinical situation in the emergency department (i.e., dedicated coronary CTA versus TRO versus dedicated pulmonary or aortic CTA), how to interpret the CTA results, and the pros and cons of biphasic versus triphasic administration of intravenous contrast material during TRO examination. A precise understanding of various cardiac CTA protocols will improve the diagnostic performance of radiologists while minimizing hazards related to radiation exposure and contrast use.
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spelling pubmed-30088232011-01-07 Current Concepts in Cardiac CT Angiography for Patients With Acute Chest Pain Yoo, Seung Min Rho, Ji Young Lee, Hwa Yeon Song, In Sup Moon, Jae Youn White, Charles S Korean Circ J Review This article presents specific examples of delayed diagnosis of acute coronary syndrome, acute aortic dissection, and pulmonary embolism resulting from evaluating patients with nonspecific acute chest pain who did not undergo immediate dedicated coronary CT angiography (CTA) or triple rule-out protocol (TRO). These concrete examples of delayed diagnosis may advance the concept of using cardiac CTA (i.e., dedicated coronary CTA versus TRO) to triage patients with nonspecific acute chest pain. This article also provides an overall understanding of how to choose the most appropriate examination based on the specific clinical situation in the emergency department (i.e., dedicated coronary CTA versus TRO versus dedicated pulmonary or aortic CTA), how to interpret the CTA results, and the pros and cons of biphasic versus triphasic administration of intravenous contrast material during TRO examination. A precise understanding of various cardiac CTA protocols will improve the diagnostic performance of radiologists while minimizing hazards related to radiation exposure and contrast use. The Korean Society of Cardiology 2010-11 2010-11-30 /pmc/articles/PMC3008823/ /pubmed/21217929 http://dx.doi.org/10.4070/kcj.2010.40.11.543 Text en Copyright © 2010 The Korean Society of Cardiology http://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review
Yoo, Seung Min
Rho, Ji Young
Lee, Hwa Yeon
Song, In Sup
Moon, Jae Youn
White, Charles S
Current Concepts in Cardiac CT Angiography for Patients With Acute Chest Pain
title Current Concepts in Cardiac CT Angiography for Patients With Acute Chest Pain
title_full Current Concepts in Cardiac CT Angiography for Patients With Acute Chest Pain
title_fullStr Current Concepts in Cardiac CT Angiography for Patients With Acute Chest Pain
title_full_unstemmed Current Concepts in Cardiac CT Angiography for Patients With Acute Chest Pain
title_short Current Concepts in Cardiac CT Angiography for Patients With Acute Chest Pain
title_sort current concepts in cardiac ct angiography for patients with acute chest pain
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3008823/
https://www.ncbi.nlm.nih.gov/pubmed/21217929
http://dx.doi.org/10.4070/kcj.2010.40.11.543
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