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CT coronary angiogram can be done as an outpatient test, in the X-ray department. CT coronary angiogram is useful to rule out significant blocks in in those presenting with chestpain to the emergency department. But it may not be that useful just to screen for blocks or build-up of plaques in those without any symptoms.
No patient with chestpain should be sent home without troponin testing. A chest x-ray in the ED found bilateral pleural effusions. The scan did not find PE, but showed evidence of coronary plaque: There are areas of dense white in the LAD (red and blue circles) and in the first diagonal (green circle).
Cardiac CT scans, recommended by the American College of Cardiology (ACC) and the American Heart Association (AHA) as the primary testing strategy for patients with acute chestpain, are necessary for evaluating cases and determining treatment plans. Advanced scanners provide detailed insights into plaque progression and stabilization.
Written by Pendell Meyers and Peter Brooks MD A man in his 30s with no known past medical history was reported to suddenly experience chestpain and shortness of breath at home in front of his family. Chestpain, SOB, Precordial T-wave inversions, and positive troponin. What is the Diagnosis? Now another, with ultrasound.
In these patients there is no plaque triggered ACS. I don’t understand how the curve of non-cardiac chestpain trespasses in the middle of a Troponin race (False positives? Many low-risk categories can be managed as outpatients; it is still true. Some of the stakeholders may welcome both, but that is not science.
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