Journal ArticleDOI
Coronary Computed Tomography Angiography for Early Triage of Patients with Acute Chest Pain: The ROMICAT (Rule Out Myocardial Infarction using Computer Assisted Tomography) Trial
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This article is published in Yearbook of Diagnostic Radiology.The article was published on 2010-01-01. It has received 139 citations till now. The article focuses on the topics: Myocardial infarction.read more
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Journal ArticleDOI
Testing of Low-Risk Patients Presenting to the Emergency Department With Chest Pain: A Scientific Statement From the American Heart Association
Ezra A. Amsterdam,J. Douglas Kirk,David A. Bluemke,Deborah B. Diercks,Michael E. Farkouh,J. Lee Garvey,Michael C. Kontos,James McCord,Todd D. Miller,Anthony P. Morise,L. Kristin Newby,Frederick L. Ruberg,Kristine Anne Scordo,Paul D. Thompson +13 more
TL;DR: Low-risk patients presenting with chest pain are increasingly managed in chest pain units in which accelerated diagnostic protocols are performed, comprising serial electrocardiograms and cardiac injury markers to exclude acute coronary syndrome.
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Prognostic Value of Cardiac Computed Tomography Angiography A Systematic Review and Meta-Analysis
TL;DR: A meta-analysis of the ability of cardiac computed tomography angiography (CCTA) to predict future cardiovascular events and death found that adverse cardiovascular events among patients with normal findings on CCTA are rare.
Journal ArticleDOI
Acute coronary syndrome: emerging tools for diagnosis and risk assessment.
TL;DR: This review identifies promising new or emerging techniques, as well as established tools, and reviews their current or potential role in clinical practice.
Journal ArticleDOI
Association of Coronary CT Angiography or Stress Testing With Subsequent Utilization and Spending Among Medicare Beneficiaries
TL;DR: In this article, the authors compared utilization and spending associated with functional (stress testing) and anatomical (CCTA) noninvasive cardiac testing in a Medicare population, and found that those who underwent CCTA in a nonacute setting were more likely to undergo subsequent invasive cardiac procedures and have higher CAD-related spending than patients who underwent stress testing.
Journal ArticleDOI
Prognostic Value of CT Angiography for Major Adverse Cardiac Events in Patients With Acute Chest Pain From the Emergency Department: 2-Year Outcomes of the ROMICAT Trial
Christopher L. Schlett,Dahlia Banerji,Emily Siegel,Fabian Bamberg,Sam J. Lehman,Maros Ferencik,Thomas J. Brady,John T. Nagurney,Udo Hoffmann,Quynh A. Truong +9 more
TL;DR: The absence of CAD on CT provides a 2-year MACE-free warranty period, whereas coronary stenosis with RWMA is associated with the highest risk of MACE.
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Journal ArticleDOI
Coronary Computed Tomography Angiography for Early Triage of Patients With Acute Chest Pain: The ROMICAT (Rule Out Myocardial Infarction using Computer Assisted Tomography) Trial
Udo Hoffmann,Fabian Bamberg,Claudia U. Chae,John H. Nichols,Ian S. Rogers,Sujith K. Seneviratne,Quynh A. Truong,Ricardo C. Cury,Suhny Abbara,Michael D. Shapiro,Jamaluddin Moloo,Javed Butler,Maros Ferencik,Hang Lee,Ik-Kyung Jang,Blair A. Parry,David F.M. Brown,James E. Udelson,Stephan Achenbach,Thomas J. Brady,John T. Nagurney +20 more
TL;DR: Fifty percent of patients with acute chest pain and low to intermediate likelihood of ACS were free of CAD by computed tomography and had no ACS, suggesting early coronary CTA may significantly improve patient management in the emergency department.
Journal ArticleDOI
Coronary computed tomographic angiography for rapid discharge of low-risk patients with potential acute coronary syndromes.
Judd E. Hollander,Anna Marie Chang,Frances S. Shofer,Christine M. McCusker,William G. Baxt,Harold Litt +5 more
TL;DR: It is hypothesized that coronary CT angiography can identify a cohort of emergency department patients with a potential acute coronary syndrome who can be safely discharged with a less than 1% risk of 30-day cardiovascular death or nonfatal myocardial infarction.