Associated with cardiac CT in assessing the role of chest pain patients.docVIP

 PAGE \* MERGEFORMAT 21 Associated with cardiac CT in assessing the role of chest pain patients [Keywords:] electron beam CT, computed tomography, coronary angiography, coronary artery stenosis, myocardial ischemia Go to the emergency room accompanied by chest pain patients seek treatment for reasons of their chest pain of angina, pulmonary embolism, aortic dissection and other relatively minor reasons. The most important is to determine the diagnosis of coronary artery disease were divided into the stability of the heart angina and acute coronary syndrome (acute coronary syndrome, ACS.ACS symptomatic coronary artery disease constitute the most serious types, including acute myocardial infarction, non-transmural myocardial infarction and unstable angina [1]. Currently diagnosed in patients with severe chest pain is not a way to be successful. In one study [2], more than 10,000 cases of emergency room patients with chest pain and related symptoms associated with, including 889 cases in 19 patients (2.1 %) ultimately proved to have acute myocardial infarction, but no suitable treatment, 2.3% of patients with unstable angina, the treatment was wrong. Other studies have shown that patients with severe chest pain, high misdiagnosis rate. Initial assessment The initial assessment of chest pain patients, including the patient’s medical history and physical examination, electrocardiogram, cardiac biomarkers. A history of risk factors, including performance evaluation and chest pain. A typical expression of cardiac chest pain or chest pain as crushing heaviness, and radiation to the neck Department and arms. physical examination results are generally normal, but may be associated with congestive heart failure signs (murmur, gallop rate, La for. ECG results generally normal, but if there is a typical example of such increase or T wave ST segment upside down, can also help. serum biomarkers such as cardiac troponin in myocardial infarction patients with che