Key result
Coronary CT angiography provides a high negative predictive value (>95%) for excluding coronary artery disease in properly selected emergency department patients with acute chest pain.
Why the study?
Does the 'triple rule-out' CT scan protocol accurately exclude fatal causes of chest pain in emergency department patients?
Does the 'triple rule-out' CT scan protocol accurately exclude fatal causes of chest pain in emergency department patients?
The 'triple rule-out' CT scan can exclude CAD, aortic dissection, and PE in ED patients with chest pain, but its routine use is limited by higher radiation exposure.
No takes yet. Share an insight, caveat, or question.
Supports coronary CTA for CAD exclusion in selected ED chest pain; leaves open triple rule-out net benefit given radiation exposure.
Gallagher et al. (2007) conducted a review in Acute chest pain. Coronary CT angiography (CCTA) / Triple rule-out scan was evaluated. Coronary CT angiography provides a high negative predictive value (>95%) for excluding coronary artery disease in properly selected emergency department patients with acute chest pain.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: