Key result
In ED patients with low-to-moderate risk chest pain, a negative cardiac CT angiogram (< 50% stenosis) was associated with 0 adverse cardiac events (0%) over a 12-month follow-up period.
Why the study?
Does a negative ECG-gated cardiac CT angiogram predict a low rate of adverse cardiac events in patients with low-to-moderate risk chest pain in the emergency department?
Population
70 patients presenting to the emergency department with low-to-moderate risk chest pain who had a negative…
Design
Cohort
Follow-up
12 months
Authors
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May support ruling out CAD for discharge in low-moderate risk ED chest pain; leaves open randomized validation before practice change.
Cohort (n=70)
Does a negative ECG-gated cardiac CT angiogram predict a low rate of adverse cardiac events in patients with low-to-moderate risk chest pain in the emergency department?
A negative cardiac CT angiogram in emergency department patients with low-to-moderate risk chest pain is associated with an excellent 1-year prognosis with no adverse cardiac events.
Shuman et al. (2010) conducted a cohort in Low-to-moderate risk chest pain (n=70). Negative cardiac CT angiogram (< 50% stenosis) was evaluated on Adverse cardiac events. In ED patients with low-to-moderate risk chest pain, a negative cardiac CT angiogram (< 50% stenosis) was associated with 0 adverse cardiac events (0%) over a 12-month follow-up period.
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