Current Concepts in Cardiac CT Angiography for Patients With Acute Chest Pain.
10.4070/kcj.2010.40.11.543
- Author:
Seung Min YOO
1
;
Ji Young RHO
;
Hwa Yeon LEE
;
In Sup SONG
;
Jae Youn MOON
;
Charles S WHITE
Author Information
1. Department of Diagnostic Radiology, CHA Medical University Hospital, Seongnam, Korea.
- Publication Type:Review
- Keywords:
Tomography, X-ray computed;
Acute coronary syndrome;
Acute aortic syndrome;
Pulmonary embolism
- MeSH:
Acute Coronary Syndrome;
Angiography;
Chest Pain;
Delayed Diagnosis;
Emergencies;
Humans;
Pulmonary Embolism;
Thorax;
Tomography, X-Ray Computed;
Triage
- From:Korean Circulation Journal
2010;40(11):543-549
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
