Coronary computed tomographic angiography (CCTA) in community hospitals: 'current and emerging role'
| Autor: | Rakesh K, Sharma, Donald J, Voelker, Rajiv K, Sharma, Vibhuti N, Singh, Girish, Bhatt, Mathilde, Moazazi, Teresa, Nash, Hanumanth K, Reddy |
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| Rok vydání: | 2010 |
| Předmět: |
emergency room
Chest Pain pulmonary embolism Hospitals Community computed tomography Coronary Artery Disease Review Coronary Angiography Prognosis calcium scoring coronary CTA Predictive Value of Tests coronary artery disease (CAD) Humans angiography Cardiology Service Hospital community hospitals Triage aortic dissection Emergency Service Hospital Tomography X-Ray Computed Quality of Health Care |
| Zdroj: | Vascular Health and Risk Management |
| ISSN: | 1178-2048 |
| Popis: | Coronary computed tomographic angiography (CCTA) is a rapidly evolving test for diagnosis of coronary artery disease. Although invasive coronary angiography is the gold standard for coronary artery disease (CAD), CCTA is an excellent noninvasive tool for evaluation of chest pain. There is ample evidence to support the cost-effective use of CCTA in the early triage process of patients presenting with chest pain in the emergency room. CCTA plays a critical role in the diagnosis of chest pain etiology as one of potentially fatal conditions, aortic dissection, pulmonary embolism, and myocardial infarction. This ‘triple rule out’ protocol is becoming an increasingly practicable and popular diagnostic tool in ERs across the country. In addition to a quick triage of chest pain patients, it may improve quality of care, decrease cost, and prevent medico-legal risk for missing potentially lethal conditions presenting as chest pain. CCTA is also helpful in the detection of subclinical and vulnerable coronary plaques. The major limitations for wide spread acceptance of this test include radiation exposure, motion artifacts, and its suboptimal imaging with increased body mass index. |
| Databáze: | OpenAIRE |
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