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[Use of multislice CT in the evaluation of patients with acute chest pain]

T Schertler, G Feuchtner, T Frauenfelder, H Alkadhi & Sebastian Leschka

abstract Acute chest pain is a common symptom but triage decisions in these patients remain a challenge. Patient's history, cardiac enzyme levels, or electrocardiograms often are unspecific. Nowadays, multidetector-row computed tomography (CT) currently represents the imaging modality of choice for diagnosing or excluding pulmonary embolism (PE) or acute aortic syndrome (AAS). Furthermore, recent studies have demonstrated advantages for non-invasive imaging of the coronary arteries by CT. The so called triple rule-out CT allows the depiction of the pulmonary arteries, the thoracic aorta, and the coronary arteries within a single examination with a simultaneous attenuation of these three vessel territories. This enables the detection of life-threatening such as PE, AAS and ACS, as well as of non-life-threatening diseases causing acute chest pain.
   
citation Schertler T, Feuchtner G, Frauenfelder T, Alkadhi H, Leschka S. [Use of multislice CT in the evaluation of patients with acute chest pain]. Praxis (Bern 1994) 2010; 99:545-52.
   
type journal paper/review (Translation2::getLang(): unknown language "". Use Translation2::setLang() to set a default language.)
date of publishing 28-4-2010
journal title Praxis (Bern 1994) (99/9)
ISSN print 1661-8157
pages 545-52
PubMed 20449822
DOI 10.1024/1661-8157/a000104