Diagnostic performance of coronary calcifications on CT to rule out acute coronary syndrome in the emergency department.

Fiche publication

Date publication

juillet 2024

Journal

BMC emergency medicine

Auteurs

Membres identifiés du Cancéropôle Est :
Pr SAULEAU Erik-André , Pr OHANA Mickaël

Tous les auteurs :
Sentagne JP, Ohana M, Severac F, Le Borgne P, Sauleau EA, Bilbault P, Kepka S

Lien Pubmed

https://www.ncbi.nlm.nih.gov/pubmed/38997628

Résumé

At present, the diagnosis of acute coronary syndrome (ACS) can be made by emergency physicians using the usual complementary tests, since the current troponin and electrocardiogram (ECG) protocols have been extensively tested for their safety. However, the detection of coronary calcifications on CT associated with coronary obstruction may be of interest for the diagnostic strategy in the emergency department (ED). The aim of this study was to evaluate a strategy combining a non-ischemic ECG with an initial normal troponin assay and the diagnostic accuracy of chest CT in detecting coronary calcifications to rule out the presence of an acute coronary event in patients presenting with chest pain in the ED.