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Thoracic pain: From guidelines to clinical practice.

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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.

Keywords:
Acute coronary syndromesChronic coronary syndromesComputed tomographyDolor torácicoMagnetic resonanceResonancia magnéticaSíndrome coronario agudoSíndrome coronario crónicoThoracic painTomografía computarizada

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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.