Diagnostic Performance of Coronary Calcification Detection on CT Scan

University Hospital, Strasbourg, France300 enrolled

Overview

thoracic pain is one of the most frequent reasons for consulting the emergency room. Chest pain can be a sign of different pathologies with a wide range of severity, from life-threatening aortic dissection or myocardial infarction to chest pain during an anxiety attack. Efficient triage of patients is therefore a crucial issue for emergency physicians in order not to ignore an acute coronary event requiring early and specific management. The investigators seek to evaluate whether a diagnostic strategy based on a thoracic CT scan to rule out coronary calcifications and a single troponin assay can exclude an acute coronary event with sufficient accuracy compared to usual management.

Study Type

OBSERVATIONAL

Enrollment

300

Conditions

Acute Coronary Syndrome

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion criteria: * Adult patient (≥18 years old) * Patient admitted to the emergency room of the Nouvel Hôpital Civil in Strasbourg between 06/01/2021 and 12/31/2021 and presenting with typical chest pain \<30min or atypical symptoms but non-eliminable cardiac origin. * Patient with an initial assessment within the norms (ECG not modified, first troponin negative) and having performed a chest CT scan * Patient who has not expressed his opposition to the reuse of his data for scientific research purposes. Exclusion criteria: \- Patient who has expressed his opposition to the retrospective reuse of his data for scientific research purposes

Locations (1)

Outcomes

Primary Outcomes

Ability of scan CT to detect coronary calcifications in patients presenting with thoracic pain to the emergency department

Presence on the scanner of calcifications 30 minutes after onset of pain

Time frame: 30 minutes after onset of pain