Monday, December 29, 2014

CT coronary angiography to evaluate chest pain

Here is a recent review.

From the review:

For patients with acute or stable chest pain syndromes, CCTA is a safe and effective diagnostic modality. The strength of CCTA is its high NPV to rule out CAD, which carries independent prognostic value for short- and long-term coronary events, better than any individual or combination of risk factors or any other diagnostic test.

Early CCTA is a viable alternative to stress testing in the triage of patients with an acute chest pain syndrome. By using CCTA, the length of hospital stay is reduced dramatically, allowing for a faster yet safe discharge from the ED or chest pain unit…

For patients with stable chest pain, the clinical benefit of CCTA is less established.

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