Current Concepts in Cardiac CT Angiography for Patients With Acute Chest Pain
Korean Circulation Journal
;
: 543-549, 2010.
Artículo
en Inglés
| WPRIM
| ID: wpr-59738
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.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Embolia Pulmonar
/
Tórax
/
Dolor en el Pecho
/
Angiografía
/
Tomografía Computarizada por Rayos X
/
Triaje
/
Urgencias Médicas
/
Síndrome Coronario Agudo
/
Diagnóstico Tardío
Tipo de estudio:
Estudio diagnóstico
/
Guía de Práctica Clínica
Límite:
Humanos
Idioma:
Inglés
Revista:
Korean Circulation Journal
Año:
2010
Tipo del documento:
Artículo
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