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

  • Arthur E. Stillman
  • Matthijs Oudkerk
  • Margaret Ackerman
  • Christoph R. Becker
  • Pawel E. Buszman
  • Pim J. de Feyter
  • Udo Hoffmann
  • Matthew T. Keadey
  • Riccardo Marano
  • Martin J. Lipton
  • Gilbert L. Raff
  • Gautham P. Reddy
  • Michael R. Rees
  • Geoffrey D. Rubin
  • U. Joseph Schoepf
  • Giuseppe Tarulli
  • Edwin J. R. van Beek
  • Lewis Wexler
  • Charles S. White
Original paper


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 [1]. 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 [2].

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 [3]. 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 [4]. 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 [7]....


Guidelines Acute chest pain 


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Copyright information

© Springer Science+Business Media, Inc. 2007

Authors and Affiliations

  • Arthur E. Stillman
    • 1
  • Matthijs Oudkerk
    • 2
  • Margaret Ackerman
    • 3
  • Christoph R. Becker
    • 4
  • Pawel E. Buszman
    • 5
  • Pim J. de Feyter
    • 6
  • Udo Hoffmann
    • 7
    • 8
  • Matthew T. Keadey
    • 9
  • Riccardo Marano
    • 10
  • Martin J. Lipton
    • 11
  • Gilbert L. Raff
    • 12
  • Gautham P. Reddy
    • 13
  • Michael R. Rees
    • 14
  • Geoffrey D. Rubin
    • 15
  • U. Joseph Schoepf
    • 16
  • Giuseppe Tarulli
    • 17
  • Edwin J. R. van Beek
    • 18
  • Lewis Wexler
    • 15
  • Charles S. White
    • 19
  1. 1.Department of RadiologyEmory UniversityAtlantaUSA
  2. 2.Department of RadiologyUniversity Medical Center Groningen, University of GroningenGroningenThe Netherlands
  3. 3.Division of Emergency Medicine, Department of MedicineMcMaster UniversityHamiltonCanada
  4. 4.Department of Clinical RadiologyLudwig-Maximilan UniversityMunichGermany
  5. 5.Department of CardiologyUpper Silesian Heart CenterSilesiaPoland
  6. 6.Thoraxcenter, Division of CardiologyUniversity Hospital Rotterdam-Dijkzigt and Erasmus UniversityRotterdamThe Netherlands
  7. 7.Department of RadiologyMassachusetts General Hospital and Harvard Medical SchoolBostonUSA
  8. 8.Harvard School of Public HealthBostonUSA
  9. 9.Department of Emergency MedicineEmory UniversityAtlantaUSA
  10. 10.Department of Clinical Sciences and BioimagingSection of Radiology, G. d’Annunzio UniversityChietiItaly
  11. 11.Department of RadiologyUniversity of ChicagoChicagoUSA
  12. 12.Department of CardiologyWilliam Beaumont HospitalRoyal OakUSA
  13. 13.Department of RadiologyUniversity of CaliforniaSan FranciscoUSA
  14. 14.Department of Clinical RadiologyBristol Royal InfirmaryBristolUK
  15. 15.Department of RadiologyStanford UniversityStanfordUSA
  16. 16.Department of RadiologyMedical University of South CarolinaCharlestonUSA
  17. 17.Department of RadiologyHumber River Regional HospitalTorontoCanada
  18. 18.Department of RadiologyUniversity of IowaIowa CityUSA
  19. 19.Department of Diagnostic RadiologyUniversity of Maryland Medical CenterBaltimoreUSA

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