Remove Chest Pain Remove Outpatient Remove Plaque
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Who Needs a CT Coronary Angiogram?

All About Cardiovascular System and Disorders

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 chest pain 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.

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See how bad the outcome can be if you don't know OMI findings on the ECG, and don't use the Queen of Hearts

Dr. Smith's ECG Blog

No patient with chest pain 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).

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Embracing Cardiac Imaging: Overcoming Barriers, Adopting In-house Solutions, and Navigating Future Advancements

DAIC

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 chest pain, are necessary for evaluating cases and determining treatment plans. Advanced scanners provide detailed insights into plaque progression and stabilization.

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A man in his 30s with cardiac arrest and STE on the post-ROSC ECG

Dr. Smith's ECG Blog

Written by Pendell Meyers and Peter Brooks MD A man in his 30s with no known past medical history was reported to suddenly experience chest pain and shortness of breath at home in front of his family. Chest pain, SOB, Precordial T-wave inversions, and positive troponin. What is the Diagnosis? Now another, with ultrasound.

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Trust the coronaries : There are benign forms of ACS too !

Dr. S. Venkatesan MD

In these patients there is no plaque triggered ACS. I don’t understand how the curve of non-cardiac chest pain 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.