Diagnostic accuracy and clinical outcomes of ECG-gated, whole chest CT in the emergency department.

ABSTRACT:

Purpose

The purpose of this study was to assess the diagnostic accuracy and one year prognosis of whole chest, "multiple rule out" CT for coronary artery disease (CAD) in Emergency Department patients.

Methods and findings

One hundred and two Emergency Department patients at low to intermediate risk of acute coronary syndrome (ACS), pulmonary embolism and/or acute aortic syndrome underwent a research 64 channel ECG-gated, whole chest CT and a standard of care evaluation. Patients were classified with obstructive CAD with either a coronary CT stenosis greater than 50% or a non-evaluable coronary segment. SOC and 3 month follow up data were used to determine an adjudicated clinical diagnosis. The diagnostic ability of obstructive CAD on CT to identify clinical diagnoses was de

SUBMITTER: Branch KR 

PROVIDER: S-EPMC3629052 | biostudies-literature | 2013

REPOSITORIES: biostudies-literature