Annals of Emergency Medicine
Volume 56, Issue 3 , Pages 230-232 , September 2010

Coronary Artery Calcium Scoring: Are the Data Rock Solid?

  • Judd E. Hollander, MD

      Affiliations

    • Corresponding Author InformationAddress for correspondence: Judd E. Hollander, MD, Department of Emergency Medicine, Ground Floor, Ravdin Building, Hospital of the University of Pennsylvania, 3400 Spruce St, Philadelphia, PA 19104-4283

References 

  1. Swap CJ, Nagurney JT. Value and limitations of chest pain history in the evaluation of patients with suspected acute coronary syndromes. JAMA. 2005;294:2623–2629
  2. Han JH, Lindsell CJ, Storrow AB, et al. Cardiac risk factor burden and its association with acute coronary syndrome. Ann Emerg Med. 2007;49:145–152
  3. McLaughlin VV, Balogh T, Rich S. Utility of electron beam computed tomography to stratify patients presenting to the emergency room with chest pain. Am J Cardiol. 1999;84:327–328
  4. Laudon DA, Vukov LF, Breen JF, et al. Use of electron beam computed tomography in the evaluation of chest pain patients in the emergency department. Ann Emerg Med. 1998;33:15–21
  5. Georgiou D, Budoff MJ, Kaufer E, et al. Screening patients with chest pain in the emergency department using electron beam tomography: a follow-up study. J Am Coll Cardiol. 2001;38:105–110
  6. Raggi P, Callister TQ, Cooil B, et al. Evaluation of chest pain in patients with low to intermediate pretest probability of coronary artery disease by electron beam computed tomography. Am J Cardiol. 2000;85:283–288
  7. Nabi F, Chang SM, Pratt CM, et al. Coronary artery calcium scoring in the emergency department: identifying which patients with chest pain can be safely discharged home. Ann Emerg Med. 2010;56:220–239
  8. Hollander JE, Chang AM, Shofer FS, et al. Coronary computerized tomographic angiography for rapid discharge of low risk chest patients with potential acute coronary syndromes. Ann Emerg Med. 2009;53:295–304
  9. Hollander JE, Chang AM, Shofer FS, et al. One year outcomes following coronary computerized tomographic angiography for evaluation of emergency department patients with potential acute coronary syndrome. Acad Emerg Med. 2009;16:693–698
  10. Hoffmann U, Bamberg F, Chae CU, et al. Coronary computed tomography angiography for early triage of patients with acute chest pain (The ROMICAT (Rule Out Myocardial Infarction Computer Assisted Tomography) trial). J Am Coll Cardiol. 2009;53:1642–1650
  11. Goldstein JA, Gallagher MJ, O'Neill WW, et al. A randomized controlled trial of multislice coronary computed tomography for evaluation of acute chest pain. J Am Coll Cardiol. 2007;49:863–871
  12. Rosen BD, Fernandez V, McClelland RL, et al. Relationship between baseline coronary calcium score and demonstration of coronary artery stenosis during follow-up: MESA (Multi-ethnic Study of Atherosclerosis). J Am Coll Cardiol Imaging. 2009;2:1175–1183
  13. Shaver KJ, Marsan RJ, Sease KL, et al. Impact of a negative evaluation for underlying coronary artery disease on 1 year resource utilization for patients admitted with potential acute coronary syndromes. Acad Emerg Med. 2005;11:1272–1277
  14. Nerenberg RH, Shofer FS, Robey JL, et al. Impact of a negative prior stress test on emergency physician disposition decision in ED patients with chest pain syndromes. Am J Emerg Med. 2007;25:39–44
  15. Chang AM, Shofer FS, Weiner MG, et al. Actual financial comparison of four strategies to evaluate patients with potential acute coronary syndromes. Acad Emerg Med. 2008;15:649–655

 Supervising editors: Keith A. Marill, MD; Donald M. Yealy, MD

 Dr. Marill and Dr. Yealy were the supervising editors on this article. Dr. Hollander did not participate in the editorial review or decision to publish this article.

 Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article that might create any potential conflict of interest. See the Manuscript Submission Agreement in this issue for examples of specific conflicts covered by this statement. The author states that he does coronary computed tomography angiography research but receives no funding from the manufacturers.

 Publication date: Available online April 3, 2010.

 Reprints not available from the author.

PII: S0196-0644(10)00269-6

doi: 10.1016/j.annemergmed.2010.03.024

Annals of Emergency Medicine
Volume 56, Issue 3 , Pages 230-232 , September 2010

Article Tools