Negative ECG-gated cardiac CT in patients with low-to-moderate risk chest pain in the emergency department: 1-Year follow-up

American Journal of Roentgenology

Volumn 195, Issue 4, 2010, Pages 923-927

  Shuman, William P ^a   May, Janet M ^a   Branch, Kelley R ^a   Mitsumori, Lee M ^a   Strote, Jared N ^a   Green, Douglas E ^a   Caldwell, James H ^a  

^a UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE   (United States)

Author keywords

Chest pain; Coronary CT angiography; Emergency department

Indexed keywords

TROPONIN I;

ADULT; ANXIETY; ARTICLE; BYPASS SURGERY; CARDIAC GATED IMAGING; CLINICAL ASSESSMENT; CORONARY STENT; DEATH; ELECTRONIC MEDICAL RECORD; EMERGENCY WARD; FEMALE; GASTROINTESTINAL DISEASE; HEART CATHETERIZATION; HEART INFARCTION; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAL RECORD REVIEW; MUSCULOSKELETAL DISEASE; PRIORITY JOURNAL; THORAX PAIN;

CHEST PAIN; ELECTROCARDIOGRAPHY; EMERGENCY SERVICE, HOSPITAL; FEMALE; FOLLOW-UP STUDIES; HEART DISEASES; HUMANS; MALE; MIDDLE AGED; PROSPECTIVE STUDIES; RISK FACTORS; TIME FACTORS; TOMOGRAPHY, X-RAY COMPUTED;

EID: 77958573986     PISSN: 0361803X     EISSN: 15463141     Source Type: Journal    
DOI: 10.2214/AJR.09.3972     Document Type: Article

References (22)

1. May JM, Shuman WP, Strote JN, et al. Low-risk patients with chest pain in the emergency department: negative 64-MDCT coronary angiography may reduce length of stay and hospital charges. AJR 2009; 193:150-154
2. Khare RK, Courtney DM, Powell ES, Venkatesh AK, Lee TA. Sixty-four-slice computed tomography of the coronary arteries: cost-effectiveness analysis of patients presenting to the emergency department with low-risk chest pain. Acad Emerg Med 2008; 15:623-632
3. Goodacre S, Calvert N. Cost effectiveness of diagnostic strategies for patients with acute, undifferentiated chest pain. Emerg Med J 2003; 20:429-433 (Pubitemid 37168217)
4. Lee TH, Goldman L. Evaluation of the patient with acute chest pain. N Engl J Med 2000; 342:1187-1195 (Pubitemid 30211051)
5. Goldstein JA, Gallagher MJ, O'Neill WW, Ross MA, O'Neil BJ, Raff GL. A randomized controlled trial of multi-slice coronary computed tomography for evaluation of acute chest pain. J Am Coll Cardiol 2007; 49:863-871
6. Hollander JE, Chang AM, Shofer FS, McCusker CM, Baxt WG, Litt HI. Coronary computed tomographic angiography for rapid discharge of lowrisk patients with potential acute coronary syndromes. Ann Emerg Med 2009; 53:295-304
7. Ladapo JA, Hoffmann U, Bamberg F, et al. Costeffectiveness of coronary MDCT in the triage of patients with acute chest pain. AJR 2008; 191: 455-463
8. Min JK, Kang N, Shaw LJ, et al. Costs and clinical outcomes after coronary multidetector CT angiography in patients without known coronary artery disease: comparison to myocardial perfusion SPECT. Radiology 2008; 249:62-70
9. 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)
10. Hoffmann U, Bamberg F, Chae CU, et al. Coronary computed tomography angiography for early triage of patients with acute chest pain: the ROMICAT (Rule Out Myocardial Infarction using Computer Assisted Tomography) trial. J Am Coll Cardiol 2009; 53:1642-1650
11. 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
12. Beigel R, Oieru D, Goitein O, et al. Usefulness of routine use of multidetector coronary computed tomography in the "fast track" evaluation of patients with acute chest pain. Am J Cardiol 2009; 103:1481-1486
13. Antman EM, Cohen M, Bernink PJ, et al. The TIMI risk score for unstable angina/non-ST elevation MI: a method for prognostication and therapeutic decision making. JAMA 2000; 284:835-842 (Pubitemid 30643610)
14. Jaffery Z, Hudson MP, Jacobsen G, Nowak R, McCord J. Modified thrombolysis in myocardial infarction (TIMI) risk score to risk stratify patients in the emergency department with possible acute coronary syndrome. J Thromb Thrombolysis 2007; 24:137-144
15. Soon KH, Kelly AM, Cox N, et al. Practicality, safety and accuracy of computed tomography coronary angiography in the evaluation of low TIMI-risk score chest pain patients: a pilot study. Emerg Med Australas 2007; 19:129-135
16. 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
17. Herzog BA, Husmann L, Burkhard N, et al. Accuracy of low-dose computed tomography coronary angiography using prospective electrocardiogram- triggering: first clinical experience. Eur Heart J 2008; 29:3037-3042
18. Husmann L, Valenta I, Gaemperli O, et al. Feasibility of low-dose coronary CT angiography: first experience with prospective ECG-gating. Eur Heart J 2008; 29:191-197
19. Austen WG, Edwards JE, Frye RL, et al. A reporting system on patients evaluated for coronary artery disease: report of the Ad Hoc Committee for Grading of Coronary Artery Disease, Council on Cardiovascular Surgery, American Heart Association. Circulation 1975; 51:5-40
20. Shuman WP, Branch KR, May JM, et al. Whole-chest 64-MDCT of emergency department patients with nonspecific chest pain: radiation dose and coronary artery image quality with prospective ECG triggering versus retrospective ECG gating. AJR 2009; 192:1662-1667
21. Shaw LJ, Iskandrian AE. Prognostic value of gated myocardial perfusion SPECT. J Nucl Cardiol 2004; 11:171-185
22. Hollander JE, Chang AM, Shofer FS, et al. One-year outcomes following coronary computerized tomographic angiography for evaluation of emergency department patients with potential acute coronary syndrome. Acad Emerg Med 2009; 16:693-698