지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
오류제보하기
Purpose: The aim of this study is to analyze target and incidental findings of the Triple rule-out (TRO) protocol in patients with intermediate or high likelihood of acute coronary syndrome (ACS) in the emergency department (ED).
Methods: This study was a retrospective analysis. All patients having chest pain or angina equivalent within 24 hours who underwent TRO coronary CT angiography (CCTA) in the ED or emergency intensive care unit were included. Patients aged 20 years and older with an intermediate or high likelihood of ACS were included. Target findings were defined as significant coronary artery stenosis, acute aortic syndrome and pulmonary embolism. Incidental findings were defined as all findings except target findings.
Significant incidental findings were defined as those requiring immediate treatment or follow-up within 3 months.
Results: Of the 106 included patients, 72 had intermediate and 34 had high likelihood of ACS. Target findings were observed in 11 (15.3%) and 12 (35.3%) patients in each likelihood group (p<0.05), and incidental findings were observed in 54 (75%) and 24 (70.6%) patients, respectively (p>0.05). Of total patients, significant findings, including cancer, were observed in 28 patients (26.4%).
Conclusion: TRO CCTA may be useful in patients with intermediate or high likelihood of ACS in the ED.
목차
등록된 정보가 없습니다.
참고문헌 (27)
참고문헌 신청
Niska R / 2010 / National Hospital Ambulatory Medical Care Survey: 2007 emergency department summary / National health statistics reports :1~31
Hoffmann U / 2006 / Coronary multidetector computed tomography in the assessment of patients with acute chest pain / Circulation 114:2251~2260
Hollander JE / 2007 / Computed tomography coronary angiography for rapid disposition of low-risk emergency department patients with chest pain syndromes / Acad Emerg Med 14:112~116
Goldstein JA / 2007 / A randomized controlled trial of multi-slice coronary computed tomography for evaluation of acute chest pain / J Am Coll Cardiol 49:863~871
Chang SA / 2008 / Usefulness of 64-slice multidetector computed tomography as an initial diagnostic approach in patients with acute chest pain / Am Heart J 156:375~383
Hoffmann U / 2006 / Coronary multidetector computed tomography in the assessment of patients with acute chest pain / Circulation 114:2251~2260
Hollander JE / 2007 / Computed tomography coronary angiography for rapid disposition of low-risk emergency department patients with chest pain syndromes / Acad Emerg Med 14:112~116
Goldstein JA / 2007 / A randomized controlled trial of multi-slice coronary computed tomography for evaluation of acute chest pain / J Am Coll Cardiol 49:863~871
Chang SA / 2008 / Usefulness of 64-slice multidetector computed tomography as an initial diagnostic approach in patients with acute chest pain / Am Heart J 156:375~383
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