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Coronary computed tomography angiography for the assessment of chest pain: current status and future directions

Arthur Nasis1, Ian T Meredith2, James D Cameron2

  • 1Department of Medicine (MMC), Monash Cardiovascular Research Centre, MonashHEART, Monash Health and Monash University, 246 Clayton Road, Clayton, Melbourne, 3168, Australia. arthur.nasis@monashhealth.org.

The International Journal of Cardiovascular Imaging
|July 3, 2015
PubMed

Insights

Coronary computed tomography angiography (CCTA) aids in diagnosing chest pain causes. This review explores CCTA

Area of Science:

  • Cardiology
  • Radiology
  • Medical Diagnostics

Background:

  • Chest pain is a common symptom with complex differential diagnoses.
  • Evaluating chest pain requires differentiating life-threatening conditions from stable syndromes.
  • Coronary computed tomography angiography (CCTA) is increasingly utilized for chest pain assessment.

Purpose of the Study:

  • To review the clinical utility of CCTA in evaluating both acute and stable chest pain.
  • To outline advancements in CCTA techniques for improved patient care.
  • To assess the cost-effectiveness of CCTA in managing chest pain.

Main Methods:

  • Review of current evidence on CCTA in stable and acute chest pain settings.
  • Evaluation of latest CCTA techniques, including functional assessment of coronary stenoses.
  • Analysis of potential clinical applications and cost-effectiveness.

Main Results:

  • CCTA demonstrates significant clinical utility in diagnosing the etiology of chest pain.
  • Advances in CCTA allow for functional assessment of coronary artery disease.
  • CCTA offers a cost-effective approach to chest pain management.

Conclusions:

  • CCTA is a valuable tool for assessing patients with acute and stable chest pain.
  • New CCTA techniques enhance diagnostic accuracy and patient management.
  • Integrating advanced CCTA can improve cost-effective care for chest pain patients.

Keywords:
Chest painCoronary artery diseaseCoronary computed tomography angiography

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