Primary outcome: ACS, chest pain. Only one study showed the non-fatal AMI patient out of 133 that advantages of using CT Secondary outcomes: had no CAC found on to assess CAC in CABG, PCI (or CT was determined to patients who present to combination) 30 days, 1 have chest pain related the ED with chest pain & 5 to a cardiac issue. as a diagnostic tool that Through this study could increase the CAC levels were number of patients who analyzed in relation to are shown to need cardiogenic chest pain further testing, and and a threshold was those patients who are derived for testing experiencing purposes. A CAC noncardiogenic chest greater than or equal to pain. 37 was identified as a positive marker for Significance to project: chest pain. Sixty-three 1.) This study could be patients fell into the incorporated into the positive category with algorithm for this marker and 44% determining a patient’s were found to have source of their chest cardiac chest pain. pain. 2.) It causes you However, there were 3 to ask the question of patients who fell below why this is not being the 37 score threshold used in ED now. 3.) that were determined to This study shows that have cardiac chest pain. there could be an Patients were followed increase in patient flow at 30 days, 1 year and in the ED by using this five years. Follow-up to rule out cardiac chest at 30 days showed no pain. 4.) Patient cardiac events in 99% satisfaction rates could of the patients, the other increase by using this
Primary outcome: ACS, non-fatal AMI Secondary outcomes: CABG, PCI (or combination) 30 days, 1 & 5 chest pain. Only one patient out of 133 that had no CAC found on CT was determined to have chest pain related to a cardiac issue. Through this study CAC levels were analyzed in relation to cardiogenic chest pain and a threshold was derived for testing purposes. A CAC greater than or equal to 37 was identified as a positive marker for chest pain. Sixty-three patients fell into the positive category with this marker and 44% were found to have cardiac chest pain. However, there were 3 patients who fell below the 37 score threshold that were determined to have cardiac chest pain. Patients were followed at 30 days, 1 year and five years. Follow-up at 30 days showed no cardiac events in 99% of the patients, the other study showed the advantages of using CT to assess CAC in patients who present to the ED with chest pain as a diagnostic tool that could increase the number of patients who are shown to need further testing, and those patients who are experiencing noncardiogenic chest pain. Significance to project: 1.) This study could be incorporated into the algorithm for determining a patient’s source of their chest pain. 2.) It causes you to ask the question of why this is not being used in ED now. 3.) This study shows that there could be an increase in patient flow in the ED by using this to rule out cardiac chest pain. 4.) Patient satisfaction rates could increase by using this
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