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The Use of Coronary CT Angiography for the Evaluation of Chest Pain

Schlett, Christopher L. MD, MPH*†; Pursnani, Amit MD*; Marcus, Roy P. MD*; Truong, Quynh A. MD, MPH*; Hoffmann, Udo MD, MPH*

doi: 10.1097/CRD.0000000000000015
Review Articles

Coronary computed tomography angiography (CCTA) may improve the diagnosis and management of acute and stable chest pain syndromes. The key for caregivers of patients presenting with acute chest pain is the early identification and management of life-threatening conditions, such as acute coronary syndromes, pulmonary embolism, and acute aortic dissection. The main goal in stable chest pain syndromes is to determine the extent and severity of coronary artery disease. This review article will critically evaluate the current literature supporting the evidence for the clinical use of CCTA in acute and stable chest pain syndromes, considering the latest innovations in CCTA technology and their potential impact on patient care.

From the *Cardiac MR PET CT Program, Department of Radiology, Division of Cardiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, Department of Clinical Radiology, Ludwig-Maximilians-University, Klinikum Grosshadern, Munich, Germany; and Department of Diagnostic and Interventional Radiology, University Hospital Heidelberg, University Heidelberg, Heidelberg, Germany.

Disclosure: The authors declare no conflict of interest.

Correspondence: Udo Hoffmann, MD, MPH, Cardiac MR PET CT Program, Department of Radiology, Massachusetts General Hospital/Harvard Medical School 165 Cambridge Street, Suite 400, Boston, MA 02114. E-mail:

© 2014 by Lippincott Williams & Wilkins.