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- W2500295829 abstract "Extract The triple rule-out These protocols have become increasingly popular in the setting of acute chest pain for the simultaneous identification or exclusion of CAD, aortic dissection, and pulmonary embolism. The concept of ‘triple rule-out’ is appealing as it offers the potential to exclude life-threatening conditions quickly using only a single test. Particular concerns about the triple rule-out are high radiation exposure and the use of the protocol as a substitute for clinical judgment. The vast majority of cases of acute chest pain can be settled by thorough history, clinical examination (e.g. blood pressure in both arms), and routine investigations such as blood tests (e.g. D-dimer, cardiac enzymes), ECG, and arterial blood gases. Only where these fail to differentiate between or exclude these three conditions should a triple rule-out protocol be considered. CT findings (Fig. 27.1) ... Specific issues Contrast administration ... Radiation ... Other issues ... Combined CT coronary and pulmonary angiography" @default.
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- W2500295829 date "2011-08-01" @default.
- W2500295829 modified "2023-09-26" @default.
- W2500295829 title "Chapter 27 Combined multivessel angiography" @default.
- W2500295829 doi "https://doi.org/10.1093/med/9780199572595.003.0255" @default.
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