Matches in SemOpenAlex for { <https://semopenalex.org/work/W2080329751> ?p ?o ?g. }
Showing items 1 to 67 of
67
with 100 items per page.
- W2080329751 endingPage "S241" @default.
- W2080329751 startingPage "S240" @default.
- W2080329751 abstract "Background: Coronary computed tomography angiography (CTA) may be utilised for assessment of patients presenting to the Emergency Department (ED) with chest pain. We designed and tested a novel CTA-guided algorithm for triaging chest pain patients and sought to determine the efficacy and long-term safety of this diagnostic strategy. Methods: We prospectively evaluated 542 consecutive patients who presented to ED between September 2008 and June 2011 with low-to-intermediate risk (TIMI 0–4) ischaemic-sounding chest pain and were evaluated with 320-row CTA after normal single or serial troponin measurements and normal electrocardiogram. Patients with known obstructive coronary stenoses or previous revascularisation were excluded. Patients without plaque or with mild stenoses on CTA were discharged without further investigation. Patients with moderate stenoses were discharged with outpatient stress echocardiography. Patients with severe stenoses were admitted for invasive angiography. Discharged patients and/or their general practitioners were contacted to determine long-term MACE. Results: Mean age was 56.0 ± 11.6 years (58% male). CTA showed no plaque or mild stenoses in 415 patients (77%) who were discharged without further investigation, moderate stenoses in 54 (10%) who were discharged with outpatient stress echocardiography and severe stenoses in 73 (13%) who were admitted. At median 23.3-month follow-up (range 8–41 months), there had been 10 chest pain readmissions (2%, 95%CI 1.2–3.9%), no revsascularisation procedures, no myocardial infarctions and no deaths (95%CI 0–0.8%). Follow-up was 100% complete. Conclusions: Triaging and discharging low-to-intermediate risk chest pain patients from ED after investigation with a novel CTA-guided algorithm is safe with no MACE at long-term follow-up. This approach provides a paradigm for a new model of care for chest pain assessment in ED." @default.
- W2080329751 created "2016-06-24" @default.
- W2080329751 creator A5046931469 @default.
- W2080329751 creator A5054767679 @default.
- W2080329751 creator A5057128973 @default.
- W2080329751 creator A5058245120 @default.
- W2080329751 creator A5070382262 @default.
- W2080329751 date "2012-01-01" @default.
- W2080329751 modified "2023-09-25" @default.
- W2080329751 title "A Novel Coronary Computed Tomography Angiography-guided Algorithm for Chest Pain Evaluation in the Emergency Department is Effective and Safe at Long-term Follow-up" @default.
- W2080329751 doi "https://doi.org/10.1016/j.hlc.2012.05.592" @default.
- W2080329751 hasPublicationYear "2012" @default.
- W2080329751 type Work @default.
- W2080329751 sameAs 2080329751 @default.
- W2080329751 citedByCount "0" @default.
- W2080329751 crossrefType "journal-article" @default.
- W2080329751 hasAuthorship W2080329751A5046931469 @default.
- W2080329751 hasAuthorship W2080329751A5054767679 @default.
- W2080329751 hasAuthorship W2080329751A5057128973 @default.
- W2080329751 hasAuthorship W2080329751A5058245120 @default.
- W2080329751 hasAuthorship W2080329751A5070382262 @default.
- W2080329751 hasConcept C118552586 @default.
- W2080329751 hasConcept C126322002 @default.
- W2080329751 hasConcept C126838900 @default.
- W2080329751 hasConcept C2777995511 @default.
- W2080329751 hasConcept C2778704086 @default.
- W2080329751 hasConcept C2780400711 @default.
- W2080329751 hasConcept C2780643987 @default.
- W2080329751 hasConcept C2780724011 @default.
- W2080329751 hasConcept C2780739214 @default.
- W2080329751 hasConcept C2781347138 @default.
- W2080329751 hasConcept C36036425 @default.
- W2080329751 hasConcept C500558357 @default.
- W2080329751 hasConcept C71924100 @default.
- W2080329751 hasConceptScore W2080329751C118552586 @default.
- W2080329751 hasConceptScore W2080329751C126322002 @default.
- W2080329751 hasConceptScore W2080329751C126838900 @default.
- W2080329751 hasConceptScore W2080329751C2777995511 @default.
- W2080329751 hasConceptScore W2080329751C2778704086 @default.
- W2080329751 hasConceptScore W2080329751C2780400711 @default.
- W2080329751 hasConceptScore W2080329751C2780643987 @default.
- W2080329751 hasConceptScore W2080329751C2780724011 @default.
- W2080329751 hasConceptScore W2080329751C2780739214 @default.
- W2080329751 hasConceptScore W2080329751C2781347138 @default.
- W2080329751 hasConceptScore W2080329751C36036425 @default.
- W2080329751 hasConceptScore W2080329751C500558357 @default.
- W2080329751 hasConceptScore W2080329751C71924100 @default.
- W2080329751 hasLocation W20803297511 @default.
- W2080329751 hasOpenAccess W2080329751 @default.
- W2080329751 hasPrimaryLocation W20803297511 @default.
- W2080329751 hasRelatedWork W1994452740 @default.
- W2080329751 hasRelatedWork W2170406776 @default.
- W2080329751 hasRelatedWork W2170613974 @default.
- W2080329751 hasRelatedWork W2204478089 @default.
- W2080329751 hasRelatedWork W2464080581 @default.
- W2080329751 hasRelatedWork W2552804028 @default.
- W2080329751 hasRelatedWork W2888812639 @default.
- W2080329751 hasRelatedWork W2919839265 @default.
- W2080329751 hasRelatedWork W3021512194 @default.
- W2080329751 hasRelatedWork W4247959890 @default.
- W2080329751 hasVolume "21" @default.
- W2080329751 isParatext "false" @default.
- W2080329751 isRetracted "false" @default.
- W2080329751 magId "2080329751" @default.
- W2080329751 workType "article" @default.