Role of Multidetector CT in Evaluation of Acute Chest Pain: Non-Cardiac Vascular and Pulmonary Causes
Sayed, R., Mansour, H., Abo Gamra, S., Nasr, M., Khaleel, M. (2013). Role of Multidetector CT in Evaluation of Acute Chest Pain: Non-Cardiac Vascular and Pulmonary Causes. EKB Journal Management System, 51(1), 385-394. doi: 10.21608/ejhm.2013.15989
Rania S Sayed; Hisham M Mansour; Sherif H Abo Gamra; Merhan A Nasr; Mohammad H Khaleel. "Role of Multidetector CT in Evaluation of Acute Chest Pain: Non-Cardiac Vascular and Pulmonary Causes". EKB Journal Management System, 51, 1, 2013, 385-394. doi: 10.21608/ejhm.2013.15989
Sayed, R., Mansour, H., Abo Gamra, S., Nasr, M., Khaleel, M. (2013). 'Role of Multidetector CT in Evaluation of Acute Chest Pain: Non-Cardiac Vascular and Pulmonary Causes', EKB Journal Management System, 51(1), pp. 385-394. doi: 10.21608/ejhm.2013.15989
Sayed, R., Mansour, H., Abo Gamra, S., Nasr, M., Khaleel, M. Role of Multidetector CT in Evaluation of Acute Chest Pain: Non-Cardiac Vascular and Pulmonary Causes. EKB Journal Management System, 2013; 51(1): 385-394. doi: 10.21608/ejhm.2013.15989

Role of Multidetector CT in Evaluation of Acute Chest Pain: Non-Cardiac Vascular and Pulmonary Causes

The Egyptian Journal of Hospital Medicine
Article 21, Volume 51, Issue 1, April 2013, Page 385-394  XML PDF (264.53 K)
Document Type: Original Article
DOI: 10.21608/ejhm.2013.15989
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Authors
Rania S Sayed1; Hisham M Mansour2; Sherif H Abo Gamra2; Merhan A Nasr2; Mohammad H Khaleel3
1Radiodiagnosis Dept., Nasr City Health Insurance Hospital, Ministry of Health
2Radiodiagnosis Dept., Ain Shams University
3Cardiology Dept., Nasr City Health Insurance Hospital, Ministry of Health
Abstract
Background: Triage of patients with acute chest pain is one of the most important issues currently facing physicians in the emergency department. Acute chest pain may be a symptom of a number of serious conditions and is generally considered a medical emergency. The causes of acute chest pain range from non-serious to life threatening. A rapid, accurate and cost-effective approach for the evaluation of emergency department patients with chest pain is needed.
Aim of the work: This work aims to emphasize the role of multidetector CT in assessment of non-cardiac vascular and pulmonary causes of acute chest pain.
Method: The studied group included 89 patients (59 men and 30 women) presented by acute chest pain. All patients were subjected to MDCT and/or MDCT angiography using a Toshiba 64 detectors CT scanner.
Results: The high spatial resolution and relatively non-invasive nature make MSCT angiography a strong and serious competitor to established vascular imaging techniques. Having the additional ability to simultaneously acquire information on other organs, which enables the early diagnosis of complications.
Conclusion: Continued technical improvements in acquisition speed and spatial resolution of computed tomography images, and development of more efficient image reconstruction algorithms which reduce patient exposure to radiation and contrast result in increased popularity of MDCT.
 
Keywords
Acute chest pain; Aortic dissection; pulmonary embolism; Pneumothorax; Computed tomography angiography
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