Achenbach Stephan, Ropers Dieter, Pohle Falk-Karsten, Hoffmann Udo, Ferencik Maros, Cury R, Abbara S, Brady Tom, Daniel Werner G
Department of Internal Medicine II, University of Erlangen, 91054Erlangen, Germany.
Crit Pathw Cardiol. 2004 Jun;3(2):87-93. doi: 10.1097/01.hpc.0000128719.73447.21.
Suitable imaging methods to reliably rule out coronary artery disease as the underlying condition might be beneficially applied in the workup of patients with acute chest pain. The temporal and spatial resolution of computed tomgraphy and electron beam computed tomography has seen continuous improvements over the past years. Current scanner generations permit relatively reliable visualization of the coronary arteries and several studies have demonstrated a high negative predictive value to rule out coronary artery stenoses. Even though applications in the context of acute coronary syndromes have not yet been specifically evaluated, it seems likely that computed tomography imaging may develop into a tool that can be integrated into the workflow in chest pain centers once appropriate studies have been performed.
采用合适的成像方法来可靠地排除冠状动脉疾病这一潜在病因，可能对急性胸痛患者的检查有益。在过去几年中，计算机断层扫描和电子束计算机断层扫描的时间和空间分辨率不断提高。当前一代的扫描仪能够相对可靠地显示冠状动脉，多项研究已证明其在排除冠状动脉狭窄方面具有较高的阴性预测价值。尽管尚未对急性冠状动脉综合征情况下的应用进行专门评估，但一旦开展了适当的研究，计算机断层扫描成像似乎有可能发展成为一种可整合到胸痛中心工作流程中的工具。
