Impact of Coronary Calcification on Clinical Management in Patients With Acute Chest Pain [Coronary Artery Disease]

Conclusions— Downstream testing, total, and diagnostic cost increased with increasing CAC, but were found to be appropriate because obstructive coronary artery disease and ACS were more prevalent in patients with high CAC. In patients with acute chest pain undergoing coronary CTA, cost-efficient testing and excellent diagnostic yield can be achieved even with high CAC burden. Clinical Trial Registration— URL: http://www.clinicaltrials.gov. Unique identifiers: NCT01084239 and NCT00933400.

http://circimaging.ahajournals.org/cgi/content/short/10/5/e005893?rss=1

Source: Circulation: Cardiovascular Imaging - May 9, 2017 Category: Radiology Authors: Bittner, D. O., Mayrhofer, T., Bamberg, F., Hallett, T. R., Janjua, S., Addison, D., Nagurney, J. T., Udelson, J. E., Lu, M. T., Truong, Q. A., Woodard, P. K., Hollander, J. E., Miller, C., Chang, A. M., Singh, H., Litt, H., Hoffmann, U., Ferencik, M. Tags: Computerized Tomography (CT), Cost-Effectiveness, Acute Coronary Syndromes, Coronary Artery Disease Source Type: research