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CT coronaryangiograms are increasing in popularity as a non-invasive screening test for detecting blocks in coronary arteries. Coronary arteries are blood vessels supplying oxygenated blood to the heart. Angiograms are images of blood vessels, usually obtained by injecting medications for contrast from body structures.
His medical history is unremarkable except a similar pain occurred 4-5 times in the previous 3 months with less intensity, short duration, unrelated to exertion. He visited an outpatient clinic for it and an echocardiogram and exercise stress test was normal. He has 40 packs-year of smoking history.
I don’t understand how the curve of non-cardiac chestpain trespasses in the middle of a Troponin race (False positives? Mind you, even a coronaryangiogram will not bail you out in terms of decision-making and risk prediction. Many low-risk categories can be managed as outpatients; it is still true.
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