One-year outcomes following coronary computerized tomographic angiography for evaluation of emergency department patients with potential acute coronary syndrome

Academic Emergency Medicine

Volumn 16, Issue 8, 2009, Pages 693-698

  Hollander, Judd E ^a   Chang, Anna Marie ^a   Shofer, Frances S ^a   Collin, Mark J ^a   Walsh, Kristy M ^a   McCusker, Christine M ^a   Baxt, William G ^a   Litt, Harold I ^a  

^a HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA   (United States)

Author keywords

Acute coronary syndrome; Chest pain; Complications; Computerized tomography; Observation units; Risk stratification

Indexed keywords

COCAINE;

ACUTE CORONARY SYNDROME; ACUTE HEART INFARCTION; ADULT; ARTICLE; COMORBIDITY; COMPUTED TOMOGRAPHIC ANGIOGRAPHY; CORONARY ARTERY THROMBOSIS; DEMOGRAPHY; DIAGNOSTIC TEST; DRUG USE; ELECTROCARDIOGRAM; EMERGENCY WARD; EVALUATION; EXERCISE TEST; FEMALE; HEART CATHETERIZATION; HEART DEATH; HOSPITAL READMISSION; HUMAN; LIFE EXPECTANCY; MAJOR CLINICAL STUDY; MALE; PRIORITY JOURNAL; PROSPECTIVE STUDY; TELECONSULTATION;

ACUTE CORONARY SYNDROME; CORONARY ANGIOGRAPHY; ELECTROCARDIOGRAPHY; EMERGENCY SERVICE, HOSPITAL; FEMALE; HUMANS; MALE; MIDDLE AGED; PREDICTIVE VALUE OF TESTS; PROSPECTIVE STUDIES; RISK ASSESSMENT; RISK FACTORS; TOMOGRAPHY, X-RAY COMPUTED; TREATMENT OUTCOME;

EID: 68149173326     PISSN: 10696563     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1553-2712.2009.00459.x     Document Type: Article

References (37)

1. Nawar EW, Niska RW, Xu J. National Hospital Ambulatory Medical Care Survey: 2005 Emergency Department Summary. Advance data from vital and health statistics; No.386. Hyattsville, MD: National Center for Health Statistics, 2007.
2. Pope JH, Aufderheide TP, Ruthazer R, et al. Missed diagnoses of acute cardiac ischemia in the emergency department. N Engl J Med. 2000; 342:1163-1170 (Pubitemid 30211047)
3. Goldman L, Cook EF, Brand DA, et al. A computer protocol to predict myocardial infarction in emergency department patients with chest pain. N Engl J Med. 1988; 318:797-803. (Pubitemid 18083626)
4. Hollander JE. The continuing search to identify the very-low-risk chest pain patient. Acad Emerg Med. 1999; 6:979.
5. Goldman L, Weinberg M, Weisberg M, et al. A computer-derived protocol to aid in the diagnosis of emergency room patients with acute chest pain. N Engl J Med. 1982; 307:588-596 (Pubitemid 12043961)
6. Tatum JL, Jesse RL, Kontos MC, et al. Comprehensive strategy for the evaluation and triage of the chest pain patient. Ann Emerg Med. 1997; 29:116-125
7. Selker HP, Beshansky JR, Griffith JL, et al. Use of the acute cardiac ischemia time-insensitive predictive instrument (ACI-TIPI) to assist with triage of patients with chest pain or other symptoms suggestive of acute cardiac ischemia. Ann Intern Med. 1998; 129:845-855
8. Selker HP, Zalenski RJ, Antman EM, et al. An evaluation of technologies for identifying acute cardiac ischemia in the emergency department: a report from the National Heart Attack Alert Program working group. Ann Emerg Med. 1997; 29:13-81.
9. Baxt WG, Shofer FS, Sites FD, Hollander JE. A neural computational aid to the diagnosis of acute myocardial infarction. Ann Emerg Med. 2002; 39:366-373
10. Baxt WG, Shofer FS, Sites FD, Hollander JE. A neural network for the prediction of cardiac ischemia in patients presenting to the emergency department with chest pain. Ann Emerg Med. 2002; 40:575-583 (Pubitemid 35417479)
11. Pollack CV Jr, Sites FD, Shofer FS, Sease KL, Hollander JE. Application of the TIMI risk score for unstable angina and non-ST elevation acute coronary syndrome to an unselected emergency department chest pain population. Acad Emerg Med. 2006; 13:13-18
12. Chase M, Robey JL, Zogby KE, Sease KL, Shofer FS, Hollander JE. Prospective validation of the TIMI risk score in the emergency department chest pain patient population. Ann Emerg Med. 2006; 48:252-259 (Pubitemid 44278307)
13. Lindsell CJ, Anantharaman V, Diercks D, et al. The internet tracking registry of acute coronary syndromes (i*trACS): a multicenter registry of patients with suspicion of acute coronary syndromes using standardized reporting guidelines for emergency department chest pain studies. Ann Emerg Med. 2006; 48:666-677 (Pubitemid 44738150)
14. Hollander JE, Robey JL, Chase M, Brown AM, Zogby KE, Shofer FS. Relationship between a clearcut alternative noncardiac diagnosis and 30 day outcome in emergency department patients with chest pain. Acad Emerg Med. 2007; 14:210-215 (Pubitemid 46274410)
15. Leber AW, Knez A, von Ziegler F, et al. Quantification of obstructive and nonobstructive coronary lesions by 64-slice computed tomography. J Am Coll Cardiol. 2005; 46:147-154
16. Raff GL, Gallagher MJ, O'Neill WW, et al. Diagnostic accuracy of noninvasive coronary angiography using 64-slice spiral computed tomography. J Am Coll Cardiol. 2005; 46:552-557 (Pubitemid 41040301)
17. Leber AW, Johnson T, Becker A, et al. Diagnostic accuracy of dual source multi-slice CT-coronary angiography in patients with an intermediate pretest likelihood for coronary artery disease. Eur Heart J. 2007; 28:2354-2360 (Pubitemid 47537778)
18. Meijboom WB, Mollet NR, van Mieghem CA, et al. 64 slice CT coronary angiography in patients with non-ST elevation acute coronary syndrome. Heart. 2007; 93:1386-1392
19. Hoffman MH, Shi H, Schmitz BL, et al. Noninvasive coronary angiography with multislice computed angiography. JAMA. 2005; 293:2471-2478 (Pubitemid 40705728)
20. Schuipf JD, Bax JJ, Salm LP, et al. Noninvasive coronary imaging and assessment of left ventricular function using 16 slice computed tomography. Am J Cardiol. 2005; 95:571-574 (Pubitemid 40255242)
21. Janne D'Othee B, Siebert U, Cury R, Jadvar H, Dunn EJ, Hoffman U. A systematic review on diagnostic accuracy of CT based detection of significant coronary artery disease. Eur J Radiol. 2208; 65:449-461
22. Hollander JE, Litt HI, Chase M, Brown AM, Kim W, Baxt WG. Computed tomography coronary angiography for rapid disposition of low risk emergency department patients with chest pain syndromes. Acad Emerg Med. 2007; 14:112-116 (Pubitemid 46149382)
23. Gallagher MJ, Ross MA, Raff GL, Goldstein JA, O'Neill WW, O'Neil B. The diagnostic accuracy of 64-slice computed tomography coronary angiography compared with stress nuclear imaging in emergency department low-risk chest pain patients. Ann Emerg Med. 2007; 49:125-136 (Pubitemid 46108136)
24. Hoffman U, Nagurney JT, Moselewski F, et al. Coronary multidetector computed tomography in the assessment of patients with acute chest pain. Circulation. 2006; 114:2251-2260 (Pubitemid 44801488)
25. Rubinshtein R, Halon DA, Gaspar T, et al. Impact of 64-slice cardiac computed tomographic angiography on clinical decision making in emergency department patients with chest pain of possible myocardial ischemic origin. Am J Cardiol. 2007; 100:1522-1526 (Pubitemid 350050859)
26. Goldstein JA, Gallagher MJ, O'Neill WW, Ross MA, O'Neill BJ, Raff GL. A randomized controlled trial of multislice coronary computed tomography for evaluation of acute chest pain. J Am Coll Cardiol. 2007; 49:863-871 (Pubitemid 46275355)
27. Pundziute G, Schuijf JD, Jukema JW, et al. Prognostic value of multislice computed tomography coronary angiography in patients with known or suspected coronary artery disease. J Am Coll Cardiol. 2007; 49:62-70. (Pubitemid 46026899)
28. Hollander JE, Chang AM, Shofer FS, McCusker CM, Baxt WG, Litt HI. Coronary computerized tomographic angiography for rapid discharge of low risk chest patients with potential acute coronary syndromes. Ann Emerg Med. 2009; 53:295-304.
29. Hollander JE, Blomkalns AL, Brogan GX, et al. Standardized reporting guidelines for studies evaluating risk stratification of emergency department patients with potential acute coronary syndromes. Ann Emerg Med. 2004; 44:589-598 (Pubitemid 39573176)
30. Cannon CP, Battler A, Brindis RG, et al. American College of Cardiology key data elements and definitions for measuring the clinical management and outcomes of patients with acute coronary syndromes. A report of the American College of Cardiology Task Force on Clinical Data Standards (Acute Coronary Syndromes Writing Committee). J Am Coll Cardiol. 2001; 38:2114-2130 (Pubitemid 33116592)
31. Papanicolaou MN, Califf RM, Hlatky MA, et al. Prognostic implications of angiographically normal and insignificantly narrowed coronary arteries. Am J Cardiol. 1986; 58:1181-1187 (Pubitemid 17219643)
32. Pitts WR, Lange RA, Cigarroa JE, Hillis LD. Repeat coronary angiography in patients with chest pain and previously normal coronary angiogram. Am J Cardiol. 1997; 80:1086-1087 (Pubitemid 27459215)
33. Schuijf JD, Wijns W, Jukema JW, et al. Relationship between noninvasive coronary angiography with multislice computed tomography and myocardial perfusion imaging. J Am Coll Cardiol. 2006; 48:2508-2514 (Pubitemid 44881213)
34. Chang AM, Shofer FS, Weiner MG, et al. Actual financial comparison of four strategies to evaluate patients with potential acute coronary syndromes. Acad Emerg Med. 2008; 15:649-655
35. Min JK, Shaw LJ, Berman DS, Gilmore A, Kang N. Costs and clinical outcomes in individuals without known coronary artery disease undergoing coronary computed tomographic angiography from an analysis of medicare category III codes. Am J Cardiol. 2008; 102:672-678
36. Chow BJ, Abraham A, Wells GA, et al. Diagnostic accuracy and impact of computed tomographic coronary angiography on utilization of invasive coronary angiography. Circ Cardiovasc Imaging. 2009; 2:16-23.
37. Shaver KJ, Marsan RJ, Sease KL, Shofer FS, Sites FD, Hollander JE. Impact of a negative evaluation for underlying coronary artery disease on 1 year resource utilization for patients admitted with potential acute coronary syndromes. Acad Emerg Med. 2005; 11:1272-1277