Acute Coronary and Acute Aortic Syndromes

Radiol Clin North Am. 2019 Jan;57(1):25-44. doi: 10.1016/j.rcl.2018.08.004.

Abstract

Multidetector-row computed tomography (MDCT) can provide crucial information and rapid triage of emergency department patients with suspected acute coronary syndrome (ACS) or acute aortic syndrome (AAS). Coronary computed tomography angiography has high negative predictive value to rule out ACS, and MDCT is diagnostic for AAS and its variants. Optimization of acquisition technique and up-to-date knowledge of the pathophysiology of these conditions can improve study and interpretation quality for diagnosis of ACS or AAS.

Keywords: Acute; Dissection; Intramural hematoma; Myocardial ischemia; Penetrating ulcer.

Publication types

  • Review

MeSH terms

  • Acute Coronary Syndrome / diagnostic imaging*
  • Acute Disease
  • Aortic Diseases / diagnostic imaging*
  • Cardiac-Gated Imaging Techniques
  • Chest Pain / diagnostic imaging
  • Contrast Media
  • Coronary Angiography
  • Emergency Service, Hospital
  • Humans
  • Risk Assessment
  • Sensitivity and Specificity
  • Syndrome
  • Tomography, X-Ray Computed / methods*
  • Triage

Substances

  • Contrast Media