Chest pain is one of the most common presentations to emergency departments. However,
only 5.1% will be diagnosed with an acute coronary syndrome, representing considerable
time and expense in the diagnosis and investigation of the patients eventually found
not to be suffering from an acute coronary syndrome. PubMed and Medline databases
were searched with variations of the terms “chest pain”, “emergency department”, “computed
tomography coronary angiography”. After review, 52 articles were included. Computed
tomography coronary angiography (CTCA) is a class I endorsement for investigating
chest pain in major international societal guidelines. CTCA offers excellent sensitivity
and negative predictive value in identifying patients with coronary disease, with
prognostic data impacting patient management. If CTCA is to be applied to all comers,
it is pertinent to discuss the advantages and potential pitfalls if use in the Australian
system is to be increased.
Keywords
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Article info
Publication history
Published online: January 06, 2023
Accepted:
December 6,
2022
Received in revised form:
November 2,
2022
Received:
May 22,
2022
Identification
Copyright
Crown Copyright © 2022 Published by Elsevier B.V. on behalf of Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). All rights reserved.