| Non-invasive coronary angiography for patients with acute atypical chest pain discharged after negative screening including maximal negative treadmill stress test. A prospective study. | |
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MedLine Citation:
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PMID: 18367269 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Among patients admitted in the emergency department for acute atypical chest pain those with an acute coronary syndrome (ACS) who are mistakenly discharged home have high mortality. A recent retrospective study has demonstrated that multislice computed tomography (MSCT) coronary angiography could improve triage of these patients. We aimed to prospectively confirm these data on patients with a negative screening including maximal treadmill stress. PATIENTS: 30 patients discharged from the emergency department after negative screening for an ACS were included. All patients underwent MSCT angiography of the coronary artery. Patients with coronary atheroma on MSCT had an invasive coronary angiography to confirm these findings. RESULTS: Seven patients (23%) had obstructive coronary artery disease on MSCT. Invasive coronary angiography (ICA) confirmed the diagnosis in all patients. CONCLUSION: In patients with no previously known coronary artery disease admitted to the emergency department with atypical acute chest pain and discharged after negative screening, including maximal treadmill stress test, MSCT coronary angiography is useful for the diagnosis of obstructive coronary artery disease. |
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Authors:
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L Bonello; S Armero; A Jacquier; O Com; A Sarran; P Sbragia; M Panuel; S Arques; F Paganelli |
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Publication Detail:
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Type: Clinical Trial; Letter Date: 2008-03-25 |
Journal Detail:
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Title: International journal of cardiology Volume: 134 ISSN: 1874-1754 ISO Abbreviation: Int. J. Cardiol. Publication Date: 2009 May |
Date Detail:
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Created Date: 2009-04-13 Completed Date: 2009-07-16 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8200291 Medline TA: Int J Cardiol Country: Netherlands |
Other Details:
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Languages: eng Pagination: 140-3 Citation Subset: IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Acute Coronary Syndrome
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radiography* Adult Chest Pain / radiography* Coronary Angiography / methods* Exercise Test Female Humans Male Middle Aged Pilot Projects Prospective Studies Tomography, X-Ray Computed* |
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