Please use this identifier to cite or link to this item:
https://observatorio.fm.usp.br/handle/OPI/12585
Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor | Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP | - |
dc.contributor.author | STANIAK, Henrique Lane | - |
dc.contributor.author | BITTENCOURT, Marcio Sommer | - |
dc.contributor.author | PICKETT, Christopher | - |
dc.contributor.author | CAHILL, Michael | - |
dc.contributor.author | KASSOP, David | - |
dc.contributor.author | SLIM, Ahmad | - |
dc.contributor.author | BLANKSTEIN, Ron | - |
dc.contributor.author | HULTEN, Edward | - |
dc.date.accessioned | 2015-12-10T17:01:14Z | - |
dc.date.available | 2015-12-10T17:01:14Z | - |
dc.date.issued | 2014 | - |
dc.identifier.citation | JOURNAL OF CARDIOVASCULAR COMPUTED TOMOGRAPHY, v.8, n.5, p.359-367, 2014 | - |
dc.identifier.issn | 1934-5925 | - |
dc.identifier.uri | https://observatorio.fm.usp.br/handle/OPI/12585 | - |
dc.description.abstract | Acute chest pain in the emergency department (ED) is a common and costly public health challenge. The traditional strategy of evaluating acute chest pain by hospital or ED observation over a period of several hours, serial electrocardiography and cardiac biomarkers, and subsequent diagnostic testing such as physiologic stress testing is safe and effective. Yet this approach has been criticized for being time intensive and costly. This review evaluates the current medical evidence which has demonstrated the potential for coronary CT angiography (CTA) assessment of acute chest pain to safely reduce ED cost, time to discharge, and rate of hospital admission. These benefits must be weighed against the risk of ionizing radiation exposure and the influence of ED testing on rates of downstream coronary angiography and revascularization. Efforts at radiation minimization have quickly evolved, implementing technology such as prospective electrocardiographic gating and high pitch acquisition to significantly reduce radiation exposure over just a few years. CTA in the ED has demonstrated accuracy, safety, and the ability to reduce ED cost and crowding although its big-picture effect on total hospital and health care system cost extends far beyond the ED. The net effect of CTA is dependent also on the prevalence of coronary artery disease (CAD) in the population where CTA is used which significantly influences rates of post-CTA invasive procedures such as angiography and coronary revascularization. These potential costs and benefits will warrant careful consideration and prospective monitoring as additional hospitals continue to implement this important technology into their diagnostic regimen. | - |
dc.language.iso | eng | - |
dc.publisher | ELSEVIER SCIENCE INC | - |
dc.relation.ispartof | Journal of Cardiovascular Computed Tomography | - |
dc.rights | restrictedAccess | - |
dc.subject | Chest pain | - |
dc.subject | Coronary computed tomography angiography | - |
dc.subject | Cardiac | - |
dc.subject | Emergency department | - |
dc.subject.other | computed-tomography angiography | - |
dc.subject.other | international multicenter registry | - |
dc.subject.other | randomized controlled-trial | - |
dc.subject.other | artery-disease | - |
dc.subject.other | prognostic value | - |
dc.subject.other | myocardial-infarction | - |
dc.subject.other | symptomatic patients | - |
dc.subject.other | radiation-exposure | - |
dc.subject.other | clinical-outcomes | - |
dc.subject.other | cardiac events | - |
dc.title | Coronary CT angiography for acute chest pain in the emergency department | - |
dc.type | article | - |
dc.rights.holder | Copyright ELSEVIER SCIENCE INC | - |
dc.identifier.doi | 10.1016/j.jcct.2014.08.001 | - |
dc.identifier.pmid | 25301041 | - |
dc.subject.wos | Cardiac & Cardiovascular Systems | - |
dc.subject.wos | Radiology, Nuclear Medicine & Medical Imaging | - |
dc.type.category | review | - |
dc.type.version | publishedVersion | - |
hcfmusp.author.external | PICKETT, Christopher:Walter Reed Natl Mil Med Ctr, Serv Cardiol, Dept Med, Bethesda, MD 20889 USA; Uniformed Serv Univ Hlth Sci, Bethesda, MD 20889 USA | - |
hcfmusp.author.external | CAHILL, Michael:Walter Reed Natl Mil Med Ctr, Serv Cardiol, Dept Med, Bethesda, MD 20889 USA; Uniformed Serv Univ Hlth Sci, Bethesda, MD 20889 USA | - |
hcfmusp.author.external | KASSOP, David:Walter Reed Natl Mil Med Ctr, Serv Cardiol, Dept Med, Bethesda, MD 20889 USA; Uniformed Serv Univ Hlth Sci, Bethesda, MD 20889 USA | - |
hcfmusp.author.external | SLIM, Ahmad:San Antonio Mil Med Ctr, Cardiol Serv MCHE MDC, Brooke Army Med Ctr, San Antonio, TX USA | - |
hcfmusp.author.external | BLANKSTEIN, Ron:Brigham & Womens Hosp, Dept Med, Div Cardiovasc, Noninvas Cardiovasc Imaging Program, Boston, MA 02115 USA; Harvard Univ, Sch Med, Dept Radiol, Boston, MA 02115 USA | - |
hcfmusp.author.external | HULTEN, Edward:Walter Reed Natl Mil Med Ctr, Serv Cardiol, Dept Med, Bethesda, MD 20889 USA; Uniformed Serv Univ Hlth Sci, Bethesda, MD 20889 USA | - |
hcfmusp.description.beginpage | 359 | - |
hcfmusp.description.endpage | 367 | - |
hcfmusp.description.issue | 5 | - |
hcfmusp.description.volume | 8 | - |
hcfmusp.origem | WOS | - |
hcfmusp.origem.id | 2-s2.0-84908070123 | - |
hcfmusp.origem.id | WOS:000342964600003 | - |
hcfmusp.publisher.city | NEW YORK | - |
hcfmusp.publisher.country | USA | - |
hcfmusp.relation.reference | Abbara Suhny, 2009, J Cardiovasc Comput Tomogr, V3, P190, DOI 10.1016/j.jcct.2009.03.004 | - |
hcfmusp.relation.reference | Goldstein JA, 2011, J AM COLL CARDIOL, V58, P1414, DOI 10.1016/j.jacc.2011.03.068 | - |
hcfmusp.relation.reference | Taylor AJ, 2010, J CARDIOVASC COMPUT, V4, P407, DOI 10.1016/j.jcct.2010.11.001 | - |
hcfmusp.relation.reference | Greenland P, 2007, J AM COLL CARDIOL, V49, P378, DOI 10.1016/j.jacc.2006.10.001 | - |
hcfmusp.relation.reference | Hulten E, 2014, CIRC-CARDIOVASC IMAG, V7, P629, DOI 10.1161/CIRCIMAGING.113.001564 | - |
hcfmusp.relation.reference | Schull MJ, 2004, ANN EMERG MED, V44, P577, DOI 10.1016/j.annemergmed.2004.05.004 | - |
hcfmusp.relation.reference | Pope JH, 2000, NEW ENGL J MED, V342, P1163, DOI 10.1056/NEJM200004203421603 | - |
hcfmusp.relation.reference | Hulten E, 2013, CIRC-CARDIOVASC QUAL, V6, P514, DOI 10.1161/CIRCOUTCOMES.113.000244 | - |
hcfmusp.relation.reference | Hausleiter J, 2009, JAMA-J AM MED ASSOC, V301, P500, DOI 10.1001/jama.2009.54 | - |
hcfmusp.relation.reference | Min JK, 2011, J AM COLL CARDIOL, V58, P849, DOI 10.1016/j.jacc.2011.02.074 | - |
hcfmusp.relation.reference | Einstein AJ, 2007, JAMA-J AM MED ASSOC, V298, P317, DOI 10.1001/jama.298.3.317 | - |
hcfmusp.relation.reference | Litt HI, 2012, NEW ENGL J MED, V366, P1393, DOI 10.1056/NEJMoa1201163 | - |
hcfmusp.relation.reference | Goldstein JA, 2007, J AM COLL CARDIOL, V49, P863, DOI 10.1016/j.jacc.2006.05.064 | - |
hcfmusp.relation.reference | Schlett CL, 2011, JACC-CARDIOVASC IMAG, V4, P481, DOI 10.1016/j.jcmg.2010.12.008 | - |
hcfmusp.relation.reference | Hoffmann U, 2012, NEW ENGL J MED, V367, P299, DOI 10.1056/NEJMoa1201161 | - |
hcfmusp.relation.reference | Rubinshtein R, 2007, CIRCULATION, V115, P1762, DOI 10.1161/CIRCULATIONAHA.106.618389 | - |
hcfmusp.relation.reference | Mowatt G, 2008, HEART, V94, P1386, DOI 10.1136/hrt.2008.145292 | - |
hcfmusp.relation.reference | Hulten EA, 2011, J AM COLL CARDIOL, V57, P1237, DOI 10.1016/j.jacc.2010.10.011 | - |
hcfmusp.relation.reference | Hausleiter J, 2012, JACC-CARDIOVASC IMAG, V5, P484, DOI 10.1016/j.jcmg.2011.12.017 | - |
hcfmusp.relation.reference | Ghoshhajra BB, 2012, AM J MED, V125, P764, DOI 10.1016/j.amjmed.2011.10.036 | - |
hcfmusp.relation.reference | Villines TC, 2011, J AM COLL CARDIOL, V58, P2533, DOI 10.1016/j.jacc.2011.10.851 | - |
hcfmusp.relation.reference | Amsterdam EA, 2010, CIRCULATION, V122, P1756, DOI 10.1161/CIR.0b013e3181ec61df | - |
hcfmusp.relation.reference | Skinner JS, 2010, HEART, V96, P974, DOI 10.1136/hrt.2009.190066 | - |
hcfmusp.relation.reference | Bhuiya FA, 2010, NCHS DATA BRIEF, P1 | - |
hcfmusp.relation.reference | Bittencourt MS, 2014, CIRC-CARDIOVASC IMAG, V7, P282, DOI 10.1161/CIRCIMAGING.113.001047 | - |
hcfmusp.relation.reference | Chinnaiyan Kavitha M, 2014, J Cardiovasc Comput Tomogr, V8, P205, DOI 10.1016/j.jcct.2014.04.001 | - |
hcfmusp.relation.reference | Greenland P, 2008, CIRCULATION, V117, P1627, DOI 10.1161/CIRCULATIONAHA.108.767665 | - |
hcfmusp.relation.reference | Henzler T, 2013, EUR J RADIOL, V82, P106, DOI 10.1016/j.ejrad.2012.06.012 | - |
hcfmusp.relation.reference | Hollander JE, 2007, ACAD EMERG MED, V14, P210, DOI 10.1197/j.aem.2006.09.053 | - |
hcfmusp.relation.reference | Hulten E, 2014, ATHEROSCLEROSIS, V233, P190, DOI 10.1016/j.atherosclerosis.2013.12.029 | - |
hcfmusp.relation.reference | Hulten E, 2013, J AM COLL CARDIOL, V61, P880, DOI 10.1016/j.jacc.2012.11.061 | - |
hcfmusp.relation.reference | Launbjerg J, 1996, CARDIOLOGY, V87, P60, DOI 10.1159/000177061 | - |
hcfmusp.relation.reference | Leipsic J, 2014, J CARDIOVASC COMPUT, V8, P342, DOI 10.1016/j.jcct.2014.07.003 | - |
hcfmusp.relation.reference | Maroules CD, 2013, J CARDIOVASC COMPUT, V7, P150, DOI 10.1016/j.jcct.2013.05.001 | - |
hcfmusp.relation.reference | Miller AH, 2011, ACAD EMERG MED, V18, P458, DOI 10.1111/j.1553-2712.2011.01066.x | - |
hcfmusp.relation.reference | MOSHAGE WEL, 1995, RADIOLOGY, V196, P707 | - |
hcfmusp.relation.reference | Nasis A, 2014, RADIOLOGY, V272, P674, DOI 10.1148/radiol.14132680 | - |
hcfmusp.relation.reference | Owens PL, 2010, ANN EMERG MED, V56, P150, DOI 10.1016/j.annemergmed.2009.11.022 | - |
hcfmusp.relation.reference | Pitts SR, 2008, NATL HLTH STAT REPOR, V7, P1 | - |
hcfmusp.relation.reference | Poon M, 2013, J AM COLL CARDIOL, V62, P543, DOI 10.1016/j.jacc.2013.04.040 | - |
hcfmusp.relation.reference | Raff GL, 2014, J CARDIOVASC COMPUT, V8, P254, DOI 10.1016/j.jcct.2014.06.002 | - |
hcfmusp.relation.reference | Shreibati JB, 2011, JAMA-J AM MED ASSOC, V306, P2128, DOI 10.1001/jama.2011.1652 | - |
dc.description.index | MEDLINE | - |
hcfmusp.citation.scopus | 18 | - |
hcfmusp.scopus.lastupdate | 2024-03-29 | - |
Appears in Collections: | Artigos e Materiais de Revistas Científicas - HU Artigos e Materiais de Revistas Científicas - ODS/03 |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
art_STANIAK_Coronary_CT_angiography_for_acute_chest_pain_in_2014.PDF Restricted Access | publishedVersion (English) | 1.27 MB | Adobe PDF | View/Open Request a copy |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.