Use of multidetector computed tomography for the assessment of acute chest pain: a consensus statement of the North American Society of Cardiac Imaging and the European Society of Cardiac Radiology
The diagnosis of patients with acute chest pain remains a challenging problem. There are approximately 6 million chest pain related emergency department (ED) visits annually in the US alone . Approximately 5.3% of all ED patients are seen because of chest pain and reported admission rates are between 30% and 72% for these patients .
Only 15–25% of patients presenting with acute chest pain are ultimately diagnosed as having an acute coronary syndrome (ACS). Of those patients who were admitted to the chest pain unit, 44% ultimately had significant pathology ruled-out in one series . The cost of chest pain triage and management has been estimated to be as high as $8 billion dollars annually with most of those patients ultimately not having ACS . Moreover, 2–8% of patients are discharged from the ED and later diagnosed as having ACS [5, 6, 7, 8]. The mortality rate for these patients is approximately 25%, which is twice as high as those who are admitted ....
KeywordsGuidelines Acute chest pain
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