UTILIZATION OF CORONARY COMPUTED TOMOGRAPHY ANGIOGRAPHY FOR RAPID RISK STRATIFICATION IN EMERGENCY CHEST PAIN UNITS

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ESMAILIAN MEHRDAD; SAJJADIEH KHAJOUEI AMIRREZA; EGHTEDARI NEDA; AZARIAN MOHAMMAD; VASEGHI GOLNAZ

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Journal: JOURNAL OF RESEARCH IN MEDICAL SCIENCES (JRMS) Year:2014 | Volume:18 | Issue:2 Page(s): 134-138

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Title

UTILIZATION OF CORONARY COMPUTED TOMOGRAPHY ANGIOGRAPHY FOR RAPID RISK STRATIFICATION IN EMERGENCY CHEST PAIN UNITS

Author(s)

Keywords

COMPUTED CORONARY TOMOGRAPHY ANGIOGRAPHY

MAJOR ADVERSE CARDIAC EVENTS

PROGNOSIS

Abstract

Background: Coronary computed tomography angiography (CCTA) is a well-known method for evaluating anatomic coronary stenosis, but the reliability of CCTA to predict cardiovascular events is an issue of controversy.Materials and Methods: In this prospective observational study, 58 patients with acute chest pain and low-to-moderate risk were selected and CCTA was performed on them. During follow up, the occurrence of MAJOR ADVERSE CARDIAC EVENTS (MACE), defined as, cardiac death, myocardial infarction or coronary revascularization, were evaluated. Sensitivity, specificity, and positive and negative predictive values of CCTA for the occurrence of MACE, at the six-month follow up, were also evaluated.Results: A total of nine (15.5%) were positive in terms of the MACE criteria and they all had positive CCTA results. It seemed that there was 100% sensitivity for CCTA in predicting the occurrence of MACE. Forty-nine patients had no MACE, among whom 48 patients had negative CCTA. The specificity of CCTA in predicting the occurrence of MACE was 98%. All patients with positive CCTA showed significant stenosis in angiography.Conclusion: It appears that CCTA allows us to predict the PROGNOSIS of patients with acute chest pain and low-to moderate-risk in terms of MACE occurrence.

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APA: Copy

ESMAILIAN, MEHRDAD, SAJJADIEH KHAJOUEI, AMIRREZA, EGHTEDARI, NEDA, AZARIAN, MOHAMMAD, & VASEGHI, GOLNAZ. (2014). UTILIZATION OF CORONARY COMPUTED TOMOGRAPHY ANGIOGRAPHY FOR RAPID RISK STRATIFICATION IN EMERGENCY CHEST PAIN UNITS. JOURNAL OF RESEARCH IN MEDICAL SCIENCES (JRMS), 18(2), 134-138. SID. https://sid.ir/paper/619359/en

Vancouver: Copy

ESMAILIAN MEHRDAD, SAJJADIEH KHAJOUEI AMIRREZA, EGHTEDARI NEDA, AZARIAN MOHAMMAD, VASEGHI GOLNAZ. UTILIZATION OF CORONARY COMPUTED TOMOGRAPHY ANGIOGRAPHY FOR RAPID RISK STRATIFICATION IN EMERGENCY CHEST PAIN UNITS. JOURNAL OF RESEARCH IN MEDICAL SCIENCES (JRMS)[Internet]. 2014;18(2):134-138. Available from: https://sid.ir/paper/619359/en

IEEE: Copy

MEHRDAD ESMAILIAN, AMIRREZA SAJJADIEH KHAJOUEI, NEDA EGHTEDARI, MOHAMMAD AZARIAN, and GOLNAZ VASEGHI, “UTILIZATION OF CORONARY COMPUTED TOMOGRAPHY ANGIOGRAPHY FOR RAPID RISK STRATIFICATION IN EMERGENCY CHEST PAIN UNITS,” JOURNAL OF RESEARCH IN MEDICAL SCIENCES (JRMS), vol. 18, no. 2, pp. 134–138, 2014, [Online]. Available: https://sid.ir/paper/619359/en

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