Cardiovascular Diseases & Diagnosis

ISSN: 2329-9517

Open Access

Chan JK

Division of Cardiology, Department of Internal Medicine, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea

  • Research Article   
    Computed Tomography Coronary Angiography Added to Standard Care with High-Sensitivity Cardiac Troponin for Acute Chest Pain
    Author(s): Jae Gyung Kim, Eun Ho Choo*, Dongjae Lee, Chan JK, Hyo SA, Jong Min Lee and Hui-Kyoung J

    European Society of Cardiology (ESC) 0/3-h algorithm using high sensitivity cardiac troponin (hs-troponin) is recommended to detect acute myocardial infarction (MI) for patients with acute chest pain. As hs-troponin may be less specific, we assessed the usefulness of coronary computed tomography angiography (CCTA) in addition to standard care for patients with acute chest pain. We investigated 695 patients who visited the emergency department for acute chest pain and performed serial hs-troponin T and CCTA. Obstructive coronary artery disease (CAD) on CCTA was defined as >=50% stenosis. The primary outcome was the occurrence of MI within 30 days. According to ESC 0/3-h algorithm, patients were categorized into rule-out (425, 61.2%), rule-in (155, 22.3%), and observe group (115, 16.5%). Eighty-one patients (11.7%) were diagnosed with MI. Two hundred ten patie.. Read More»

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