Key result
Performing a non-contrast-enhanced chest MRI in high-risk patients presenting with recent onset of chest pain is proposed as a potentially faster, cheaper, and safer diagnostic alternative.
The author proposes that non-contrast-enhanced chest MRI could serve as a rapid, non-invasive, and cost-effective single diagnostic tool for evaluating acute chest pain in the emergency setting.
Nowadays, making quickly a diagnosis in patients with stable chest pain is difficult and cardiovascular diseases are responsible for the vast majority of deaths worldwide.Unfortunately, the first line exams reported in the guidelines may not suddenly discover the underlying pathology causing chest pain.The need of a quick and precise diagnosis of acute chest pain etiology in an emergency setting and the unavailability of a single effective and not invasive exam should induce to deploy a new technology to shorten the diagnostic process.
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Eva Intagliata (2020) conducted an editorial in Acute chest pain. Non-contrast-enhanced chest MRI vs. Standard diagnostic exams (ECG, cardiac markers, X-ray, echocardiography, enhanced CT-scan) was evaluated. Performing a non-contrast-enhanced chest MRI in high-risk patients presenting with recent onset of chest pain is proposed as a potentially faster, cheaper, and safer diagnostic alternative.
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