Seminars in Ultrasound, CT and MRI
Volume 28, Issue 2 , Pages 109-114 , April 2007

Evaluation of Acute Chest Pain in the Emergency Department: Utility of Multidetector Computed Tomography

  • Jean Jeudy, MD
  • ,
  • Charles S. White, MD

      Affiliations

    • Corresponding Author InformationAddress reprint requests to Charles S. White, MD, Department of Radiology, Cardiothoracic Imaging, University of Maryland Medical Center, 22 S. Greene Street, Baltimore, MD 21201.

References 

  1. Braunwald E, Antman EM, Beasley JW, et al. ACC/AHA 2002 guideline update for the management of patients with unstable angina and non-ST-segment elevation myocardial infarction—summary article: a report of the American College of Cardiology/American Heart Association task force on practice guidelines. J Am Coll Cardiol. 2002;40:1366–1374
  2. Souza AS, Bream PR, Elliott LP. Chest film detection of coronary artery calcification (The value of the CAC triangle). Radiology. 1978;129:7–10
  3. Margolis JR, Chen JT, Kong Y, Peter RH, Behar VS, Kisslo JA. The diagnostic and prognostic significance of coronary artery calcification (A report of 800 cases). Radiology. 1980;137:609–616
  4. MacGregor JH, Chen JT, Chiles C, Kier R, Godwin JD, Ravin CE. The radiographic distinction between pericardial and myocardial calcifications. AJR Am J Roentgenol. 1987;148:675–677
  5. Higgins CB, Lipton MJ, Johnson AD, Peterson KL, Vieweg WV. False aneurysms of the left ventricle (Identification of distinctive clinical, radiographic, and angiographic features). Radiology. 1978;127:21–27
  6. Higgins CB, Lipton MJ. Radiography of acute myocardial infarction. Radiol Clin North Am. 1980;18:359–368
  7. Heller GV, Stowers SA, Hendel RC, et al. Clinical value of acute rest technetium-99m tetrofosmin tomographic myocardial perfusion imaging in patients with acute chest pain and non diagnostic electrocardiogram. J Am Coll Cardiol. 1998;31:1011–1017
  8. Wackers FJ, Brown KA, Heller GV, et al. American Society of Nuclear Cardiology position statement on radionuclide imaging in patients with suspected acute ischemic syndrome in the emergency department or chest pain center. J Nucl Cardiol. 2002;9:246–250
  9. Sicari R, Pasanisi E, Venneri L, Landi P, Cortigiani L, Picano E Echo Persantine International Cooperative (EPIC) Study Group Echo Dobutamine International Cooperative (EDIC) Study Group. Stress echo results predict mortality: a large-scale multicenter prospective international study. J Am Coll Cardiol. 2003;41:589–595
  10. Kwong RY, Schussheim AE, Rekhraj S, et al. Detecting acute coronary syndrome in the emergency department with cardiac magnetic resonance imaging. Circulation. 2003;107:531–537
  11. Agatston AS, Janowitz WR, Hildner FJ, Zusmer NR, Viamonte M, Detrano R. Quantification of coronary artery calcium using ultrafast computed tomography. J Am Coll Cardiol. 1990;15:827–832
  12. Laudon DA, Vukov LF, Breen JF, Rumberger JA, Wollan PC, Sheedy PF. Use of electron-beam computed tomography in the evaluation of chest pain patients in the emergency department. Ann Emerg Med. 1999;33:15–21
  13. Georgiou D, Budoff MJ, Kaufer E, Kennedy JM, Lu B, Brundage BH. Screening patients with chest pain in the emergency department using electron beam tomography: a follow-up study. J Am Coll Cardiol. 2001;38:105–110
  14. McLaughlin VV, Balogh T, Rich S. Utility of electron beam computed tomography to stratify patients presenting to the emergency room with chest pain. Am J Cardiol. 1999;84:327–328A8
  15. Hoffmann MH, Shi H, Manzke R, et al. Noninvasive coronary angiography with 16-detector row CT: effect of heart rate. Radiology. 2005;234:86–97
  16. White CS, Kuo D, Kelemen M, et al. Chest pain evaluation in the emergency room: can multi-slice CT provide a comprehensive evaluation?. AJR Am J Roentgenol. 2005;185:533–540
  17. Hoffmann U, Pena AJ, Moselewski F, et al. MDCT in Early Triage of Patients with Acute Chest Pain. 2005;In: proceedings of the Radiological Society of North America, Annual Meeting; November 27-December 2; Chicago, IL; Abstract: SSG08-06
  18. Klassen C, Nguyen M, Montes H, et al. Rule Out of Coronary Artery Disease: Coronary CT Angiography and Calcium Scores in Chest Pain Patients Presenting to the Emergency Department. 2005;In: Proceedings of the Radiological Society of North America, Annual Meeting; November 27-December 2; Chicago, IL; Abstract: SST06-09
  19. Gaspar T, Rubinshtein R, Halon D, et al. Cardiac CT (64-slice) in Triage and Management of Patients Presenting with Chest Pain to the Emergency Department. 2005;In: Proceedings of the Radiological Society of North America, Annual Meeting; November 27-December 2; Chicago, IL; Abstract: SSG08-07
  20. Ghersin E, Litmanovich D, Dragu R, et al. 16-MDCT coronary angiography versus invasive coronary angiography in acute chest pain syndrome: a blinded prospective study. AJR Am J Roentgenol. 2006;186(1):177–184
  21. Hoffmann U, Pena AJ, Moselewski F, et al. MDCT in early triage of patients with acute chest pain. AJR Am J Roentgenol. 2006;187(5):1240–1247
  22. Hoffmann 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
  23. Gallagher MJ, Ross MA, Raff GL, et al. 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. 2006;49:125–136

PII: S0887-2171(07)00015-7

doi: 10.1053/j.sult.2007.01.006

Seminars in Ultrasound, CT and MRI
Volume 28, Issue 2 , Pages 109-114 , April 2007