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Evaluation of Acute Chest Pain: Is It Feasible and Safe?

Time:

8:30 AM- 10:00 AM

Author:

Monvadi B. Srichai, Harold Ira Litt, and Ethan J. Halpern

Code: RC203

Objective:

This session includes three sections. The first is Clinical Perspective, which includes Clinical presentation of CAD: How clinicians decide whether a patient is having cardiac related chest pain. How accurate is this decision process? Attendees will learn what other technologies are available to decide whether a patient is having cardiac related chest pain? And how these technologies are most appropriately combined into a diagnostic work-up algorithm? Attendees will also learn in which scenarios is coronary appropriate in the evaluation of acute chest pain? And how coronary CTA should be used in conjunction with other tests, including treadmill stress, stress echocardiography and stress perfusion studies. The second section, Safety and Efficacy of ED Coronary , discusses how clinicians determine whether acute chest pain is cardiac related. Attendees will recognize the risks of cardiac CTA (contrast toxicity, beta-blockers, nitroglycerin). They will also know the positive and negative predictive value of coronary CTA. This section discusses when coronary CTA is appropriate in the evaluation of acute chest pain, and when coronary CTA should be used in conjunction with other non-invasive tests (treadmill stress, stress echocardiography and nuclear stress perfusion). The section also comprehends the impact of coronary CTA on the cost-effectiveness and radiation dose involved in the work-up of acute chest pain. It will highlight the role of triple rule-out studies. Attendees will identify the necessary elements to implement a cardiac CT program in the scenario of acute chest pain. The third section is Dedicated Cardiac CT and Triple Rule-out Studies: Risks and Benefits, which discusses the role of cardiac CT procedures while comparing its risks and benefits.

 

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