CT coronary angiography: New risks for low-risk chest pain

Emergency Medicine Journal

Volumn 30, Issue 10, 2013, Pages 856-857

  Radecki, Ryan Patrick ^a  

^a UNIVERSITY OF TEXAS MEDICAL SCHOOL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

BIOLOGICAL MARKER; TROPONIN;

ANGIOCARDIOGRAPHY; ANTICOAGULATION; ARTICLE; COMPUTED TOMOGRAPHIC ANGIOGRAPHY; COMPUTED TOMOGRAPHIC CORONARY ANGIOGRAPHY; CORONARY ARTERY DISEASE; EMERGENCY WARD; EVENT FREE SURVIVAL; HEALTH CARE COST; HEART INFARCTION; HOSPITAL COST; HUMAN; LENGTH OF STAY; LUNG EMBOLISM; MORTALITY; MYOCARDIAL PERFUSION IMAGING; PRIORITY JOURNAL; PROBABILITY; RADIATION EXPOSURE; REVASCULARIZATION; THORAX PAIN;

ACUTE CORONARY SYNDROME; CARDIAC CARE, DIAGNOSIS; CHEST; CT/MRI; EMERGENCY DEPARTMENT;

CHEST PAIN; CORONARY ANGIOGRAPHY; EMERGENCY SERVICE, HOSPITAL; HUMANS; TOMOGRAPHY, X-RAY COMPUTED;

EID: 84884591549     PISSN: 14720205     EISSN: 14720213     Source Type: Journal    
DOI: 10.1136/emermed-2012-201795     Document Type: Article

References (13)

1. Litt HI, Gatsonis C, Snyder B, et al. CT angiography for safe discharge of patients with possible acute coronary syndromes. NEJM 2012;366:1393-403.
2. Goldstein JA, Chinnaiyan KM, Abidov A, et al. The CT-STAT (Coronary computed tomographic angiography for systematic triage of acute chest pain patients to treatment) trial. J Am Coll Cardiol. 2011;58:1414-22.
3. Hoffmann U, Truong QA, Schoenfield DA, et al. Coronary CT angiography versus standard evaluation in acute chest pain. NEJM. 2012;367:299-308.
4. Hamm CW, Goldmann BU, Heeschen C, et al. Emergency room triage of patients with acute chest pain by means of rapid testing for cardiac troponin T or troponin I. NEJM 1997;337:1648-53.
5. Body R, Carley S, McDowell G, et al. Rapid exclusion of acute myocardial infarction in patients with undetectable troponin using a high-sensitivity assay. J Am Col Cardiol 2011;58:1332-9.
6. Martin T, Cullen L, Aldous S. 2-hour accelerated diagnostic protocol to assess patients with chest pain symptoms using contemporary troponins as the only biomarker. J Am Col Cardiol 2012;59:2091-8.
7. Scheuermeyer FX, Innes G, Grafstein E, et al. Safety and efficiency of a chest pain diagnostic algorithm with selective outpatient stress testing for emergency department patients with potential ischemic chest pain. Ann Emerg Med 2012;59:256-64.
8. Shreibati JB, Baker LC, Hlatky MA. Association of coronary CT angiography or stress testing with subsequent utilization and spending among Medicare beneficiaries. JAMA 2011;306:2128-36.
9. Wiener RS, Schwartz LM, Woloshin S. Time trends in pulmonary embolism in the United States: evidence of overdiagnosis. Arch Intern Med 2011;171: 831-7.
10. National Institute for Health and Clinical Excellence. Chest pain of recent onset. CG95. London: National Institute for Health and Clinical Excellence, 2010.
11. Mitchell AM, Jones AE, Tumlin JA, et al. Prospective study of the incidence of contrast-induced nephropathy among patients evaluated for pulmonary embolism by contrast-enhanced computed tomography. Acad Emerg Med 2012;19:618-25.
12. Rhee CM, Bhan I, Alexander EK, et al. Association between iodinated contrast media exposure and incident hyperthyroid and hypothyroidism. Arch Intern Med 2012;172:153-9.
13. Huda W, Schoepf UJ, Abro JA, et al. Radiation-related cancer risks in a clinical patient population undergoing cardiac CT. AJR AM J Roentgoenl 2011;1992: W159-65.