2015 ACR/ACC/AHA/AATS/ACEP/ASNC/NASCI/SAEM/SCCT/SCMR/SCPC/SNMMI/STR/STS Appropriate Utilization of Cardiovascular Imaging in Emergency Department Patients With Chest Pain

Rybicki, Frank J.; Udelson, James E.; Peacock, W. Frank; Goldhaber, Samuel Z.; Isselbacher, Eric M.; Kazerooni, Ella A.; Kontos, Michael C.; Litt, Harold; Woodard, Pamela K.

doi:10.1016/j.jacc.2015.09.011

Cited by 102 publications

(44 citation statements)

References 158 publications

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“…The prognostic risk stratification of symptomatic or asymptomatic but at a high risk of CAD patients using noninvasive methods becomes more important with the development of noninvasive imaging modalities for CAD diagnosis. [29–32] Several studies emphasized the role of physical activity and nutrition in the prevention of the progression of subclinical atherosclerosis, metabolic abnormalities, and adverse CV events in the general population. [33–38] The prevalence of metabolic syndrome is rapidly increasing worldwide, and it affects approximately 31% of Korean adults.…”

Section: Discussionmentioning

confidence: 99%

Comparison of 2-year clinical outcomes between diabetic versus nondiabetic patients with acute myocardial infarction after 1-month stabilization

et al. 2016

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Section: Discussionmentioning

confidence: 99%

Comparison of 2-year clinical outcomes between diabetic versus nondiabetic patients with acute myocardial infarction after 1-month stabilization

et al. 2016

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“…However, neither does it intend to make changes to the indication for coronary CTA nor the scan protocols. Hence, indications and protocols should follow the latest SCCT, ESC, and AHA guidelines [4, 8, 12–14]. Also the subsequent scan interpretation and estimation of potential stenosis grades should be performed in concordance with the 2014 SCCT reporting guidelines in both emergent and elective CAD assessment settings [6].…”

Section: Using the Cad-rads Classificationmentioning

confidence: 99%

“…A recent analysis, the PROspective Multicenter Imaging Study for Evaluation of Chest Pain trial (PROMISE), has shown that CTA outperforms functional stress testing in predicting adverse cardiac events at 2-years of follow-up among patients with stable chest pain [2, 3]. Therefore, the PROMISE trial, among other clinical trials, has led the American Heart Association/Society of Cardiovascular Computed Tomography (AHA/SCCT) and the British National Institute for Health and Care Excellence (NICE) guidelines to consider CTA as an appropriate test to rule out obstructive CAD in patients with stable or acute chest pain and low-to-intermediate risk [4, 5]. …”

Section: Introductionmentioning

confidence: 99%

CAD-RADS – a new clinical decision support tool for coronary computed tomography angiography

et al. 2017

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“…The paper entitled ‘2015 ACR/ACC/AHA/AATS/ACEP/ASNC/NASCI/SAEM/SCCT/SCMR/SCPC/SNMMI/STR/STS Appropriate Utilization of Cardiovascular Imaging in Emergency Department Patients With Chest Pain’ 71 provides indications for correct and appropriate use of imaging tests in a setting of patients with chest pain.…”

Section: Diagnostic Toolsmentioning

confidence: 99%

ANMCO-SIMEU Consensus Document: in-hospital management of patients presenting with chest pain

Zuin

Parato²,

Groff³

et al. 2017

European Heart Journal Supplements

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Chest pain is a common general practice presentation that requires careful diagnostic assessment because of its diverse and potentially serious causes. However, the evaluation of acute chest pain remains challenging, despite many new insights over the past two decades. The percentage of patients presenting to the emergency departments because of acute chest pain appears to be increasing. Nowadays, there are two essential chest pain-related issues: (i) the missed diagnoses of acute coronary syndromes with a poor short-term prognosis; and (ii) the increasing percentage of hospitalizations of low-risk cases. It is well known that hospitalization of a low-risk chest pain patient can lead to unnecessary tests and procedures, with an increasing trend of complications and burden of costs. Therefore, the significantly reduced financial resources of healthcare systems induce physicians and administrators to improve the efficiency of care protocols for patients with acute chest pain. Despite the efforts of the Scientific Societies in producing statements on this topic, in Italy there is still a significant difference between emergency physicians and cardiologists in managing patients with chest pain. For this reason, the aim of the present consensus document is double: first, to review the evidence-based efficacy and utility of various diagnostic tools, and, second, to delineate the critical pathways (describing key steps) that need to be implemented in order to standardize the management of chest pain patients, making a correct diagnosis and treatment as uniform as possible across the entire country.

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2015 ACR/ACC/AHA/AATS/ACEP/ASNC/NASCI/SAEM/SCCT/SCMR/SCPC/SNMMI/STR/STS Appropriate Utilization of Cardiovascular Imaging in Emergency Department Patients With Chest Pain

Cited by 102 publications

References 158 publications

Comparison of 2-year clinical outcomes between diabetic versus nondiabetic patients with acute myocardial infarction after 1-month stabilization

Comparison of 2-year clinical outcomes between diabetic versus nondiabetic patients with acute myocardial infarction after 1-month stabilization

CAD-RADS – a new clinical decision support tool for coronary computed tomography angiography

ANMCO-SIMEU Consensus Document: in-hospital management of patients presenting with chest pain

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