Don’t use coronary CT angiography in high-risk emergency department patients presenting with acute chest pain. note: Risk defined by the Thrombolysis In Myocardial Infarction risk score for unstable angina/acute coronary syndromes.

During a system upgrade from Friday, Dec. 5, through Sunday, Dec. 7, the AAFP website, on-demand courses and CME purchases will be unavailable.

Rationale and Comments

To date, randomized control trials evaluating use of coronary CT angiography for individuals presenting with acute chest pain in the emergency department have been limited to low- or low-intermediate–risk individuals.

Sponsoring Organizations

Society of Cardiovascular Computed Tomography

Sources

Randomized controlled trials

Disciplines

Cardiovascular
Emergency medicine

References

Goldstein JA, et al. The CT-STAT (Coronary Computed Tomographic Angiography for Systematic Triage of Acute Chest Pain Patients to Treatment) trial. J Amer Coll Cardiol. 2011;58(14):1414-22.
Hoffmann U, et al. Coronary CT angiography versus standard evaluation in acute chest pain. N Engl J Med. 2012;367(4):299-308.
Litt HI, et al. CT angiography for s afe discharge of patients with possible acute coronary syndromes. N Engl J Med. 2012;366(15):1393-403.