Clinical update. Computed Tomography — an Emerging Tool for Triple Rule-Out in the Emergency Department. A Review

Dobra, Mihaela; Bordi, Lehel; Nyulas, Tiberiu; Stănescu, Anca Daniela; Morariu, Mirabela; Condrea, Sebastian; Benedek, Theodora

doi:10.1515/jce-2017-0005

Cited by 5 publications

(2 citation statements)

References 38 publications

(23 reference statements)

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“…This so‐called “triple rule‐out” (TRO) CT protocol is probably the most appropriate for patients having low to intermediate risk for acute coronary syndrome, although it requires a higher dose of radiation. The sensitivity of TRO CT is reported to be 86–100%, 71% and 94% for detecting acute coronary syndrome, pulmonary embolism and aortic dissection, respectively …”

Section: Imaging In the Early Phasementioning

confidence: 99%

“…The sensitivity of TRO CT is reported to be 86-100%, 71% and 94% for detecting acute coronary syndrome, pulmonary embolism and aortic dissection, respectively. 37 Computed tomography images are also valuable for demonstration of cardiogenic pulmonary oedema with consistently posterior involvement of the interstitium, dilated pulmonary veins and unaffected bronchi. 38…”

Section: Differentiation With Coronary or Aortic Syndromes And Pulmonmentioning

confidence: 99%

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Imaging in patients with suspected acute heart failure: timeline approach position statement on behalf of the Heart Failure Association of the European Society of Cardiology

Čelutkienė

Lainščak

Anderson

et al. 2019

European J of Heart Fail

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Acute heart failure is one of the main diagnostic and therapeutic challenges in clinical practice due to a non‐specific clinical manifestation and the urgent need for timely and tailored management at the same time. In this position statement, the Heart Failure Association aims to systematize the use of various imaging methods in accordance with the timeline of acute heart failure care proposed in the recent guidelines of the European Society of Cardiology. During the first hours of admission the point‐of‐care focused cardiac and lung ultrasound examination is an invaluable tool for rapid differential diagnosis of acute dyspnoea, which is highly feasible and relatively easy to learn. Several portable and stationary imaging modalities are being increasingly used for the evaluation of cardiac structure and function, haemodynamic and volume status, precipitating myocardial ischaemia or valvular abnormalities, and systemic and pulmonary congestion. This paper emphasizes the central role of the full echocardiographic examination in the identification of heart failure aetiology, severity of cardiac dysfunction, indications for specific heart failure therapy, and risk stratification. Correct evaluation of cardiac filling pressures and accurate prognostication may help to prevent unscheduled short‐term readmission. Alternative advanced imaging modalities should be considered to assist patient management in the pre‐ and post‐discharge phase, including cardiac magnetic resonance, computed tomography, nuclear studies, and coronary angiography. The Heart Failure Association addresses this paper to the wide spectrum of acute care and heart failure specialists, highlighting the value of all available imaging techniques at specific stages and in common clinical scenarios of acute heart failure.

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Section: Imaging In the Early Phasementioning

confidence: 99%

Section: Differentiation With Coronary or Aortic Syndromes And Pulmonmentioning

confidence: 99%