Thoracic pain: From guidelines to clinical practice
A I Barrio Alonso1, J Broncano Cabrero2, A M Villán González3
1Hospital Universitario de Cabueñes, Gijón, Asturias, Spain; HT Médica Gijón-Hospital Covadonga, Gijón, Asturias, Spain.
Radiologia
|May 24, 2025
Summary
Chest pain is a common symptom of cardiovascular diseases. This review highlights the role of non-invasive cardiac imaging, including computed tomography and cardiac magnetic resonance, in managing acute and chronic coronary syndromes according to recent guidelines.
Area of Science:
- Cardiology
- Medical Imaging
Background:
- Thoracic pain is a primary symptom of cardiovascular diseases.
- Diagnosis and management rely on pain assessment, analytical parameters, and imaging.
- Recent European and American guidelines emphasize cardiac imaging for coronary syndromes.
Purpose of the Study:
- To outline the role of non-invasive cardiac imaging in managing acute and chronic coronary syndromes.
- To align with the latest European and American guidelines for cardiovascular disease management.
Main Methods:
- Review of 2023 European guidelines for acute coronary syndromes.
- Review of 2023 American guidelines for chronic coronary disease.
- Review of 2021 American guidelines for chest pain evaluation.
Main Results:
- Non-invasive cardiac imaging, specifically computed tomography and cardiac magnetic resonance, plays a crucial role.
- These modalities are integral to the diagnostic and management pathways outlined in current guidelines.
- Guidelines increasingly recommend these non-invasive techniques for both acute and chronic coronary syndromes.
Conclusions:
- Non-invasive cardiac imaging is essential for the diagnosis and management of coronary syndromes.
- Computed tomography and cardiac magnetic resonance are key tools supported by recent clinical guidelines.
- Adherence to guidelines ensures optimal patient care for thoracic pain related to coronary artery disease.
Keywords:
Acute coronary syndromesChronic coronary syndromesComputed tomographyDolor torácicoMagnetic resonanceResonancia magnéticaSíndrome coronario agudoSíndrome coronario crónicoThoracic painTomografía computarizadaMore Related Videos
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