Author: Stephen Sheridan, Jessie Lynch, Marcus Jee, Etimbuk Umana / Editor: Robert Hirst / Codes: CC1, SLO10, SLO3 / Published: 07/07/2022

Happy TERNsday!

Welcome To July 2022’s Virtual Journal Club Module. This month’s edition is brought to you by ITERN, who are discussing something you may have also heard on this month’s RCEMLearning podcast: the early CTCA in suspected ACS RCT. We hope you enjoy this month’s edition.

Are you interested in writing a module? We are looking to recruit regional teams around the country to write future modules from August. Email us on [email protected].

START

References

  1. DeLaney MC, Neth M, Thomas JJ. Chest pain triage: Current trends in the emergency departments in the United States. J. Nucl. Cardiol. 2017; 24(6): 2004-11. doi:10.1007/s12350-016-0578-0
  2. Ekelund U, Akbarzadeh M, et al. Likelihood of acute coronary syndrome in emergency department chest pain patients varies with time of presentation. BMC Res. Notes. 2012; 5:420. doi:10.1186/1756-0500-5-420
  3. Stepinska J, Lettino M, Ahrens I, Bueno H, et al. Diagnosis and risk stratification of chest pain patients in the emergency department: focus on acute coronary syndromes. A position paper of the Acute Cardiovascular Care Association. Eur. Hear. Journal. Acute Cardiovasc. Care. 2020; 9(1): 76–89. doi:10.1177/2048872619885346
  4. Chang AM, Fischman DL, Hollander JE. Evaluation of Chest Pain and Acute Coronary Syndromes. Cardiol. Clin. 2018; 36(1): 1–12. doi:10.1016/j.ccl.2017.08.001
  5. Backus B, Six AJ, Kelder JC, Bosschaert MAR, Mast EG, Mosterd A, et al. A prospective validation of the HEART score for chest pain patients at the emergency department. Int. J. Cardiol. 2013; 168(3), 2153–8. doi:10.1016/j.ijcard.2013.01.255
  6. Cortés M, Haseeb S, Lambardi F, Arbucci R, et al. The HEART score in the era of the European Society of Cardiology 0/1-hour algorithm. Eur. Hear. J. Acute Cardiovasc. Care. 2020; 9(1), 30–8. doi:10.1177/2048872619883619
  7. Fox KAA, Dabbous OH, Goldberg RJ, Pieper KS, et al. Prediction of risk of death and myocardial infarction in the six months after presentation with acute coronary syndrome: prospective multinational observational study (GRACE). BMJ. 2006; 333: 1091–1094. doi:10.1136/bmj.38985.646481.55
  8. Collet J, Thiele H. The ‘Ten Commandments’ for the 2020 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation. Eur. Heart J. 2020; 41(37), 3495–7. doi:10.1093/eurheartj/ehaa624
  9. Paech DC, Weston AR. A systematic review of the clinical effectiveness of 64-slice or higher computed tomography angiography as an alternative to invasive coronary angiography in the investigation of suspected coronary artery disease. BMC Cardiovasc. Disord. 2011;11:32. doi:10.1186/1471-2261-11-32
  10. Dedic A, Lubbers MM, Schaap J, Lammers J, Lamfers EJ, et al. Coronary CT Angiography for Suspected ACS in the Era of High-Sensitivity Troponins Randomized Multicenter Study. J. Am. Coll. Cardiol. 2016; 67(1): 16–26. doi:10.1016/j.jacc.2015.10.045
  11. Hoffmann U, Truong QA, Schoenfeld DA, Chou ET, et al. Coronary CT angiography versus standard evaluation in acute chest pain. N. Engl. J. Med. 2012; 367: 299-308. doi:10.1056/NEJMoa1201161
  12. Reinhardt SW, Lin C, Novak E. Brown DL. Noninvasive Cardiac Testing vs Clinical Evaluation Alone in Acute Chest Pain: A Secondary Analysis of the ROMICAT-II Randomized Clinical Trial. JAMA Intern. Med. 2018; 178(2), 212-9. doi:10.1001/jamainternmed.2017.7360.
  13. Hamilton-Craig C, Fifoot A, Hansen M, Pincus M, Chan J, et al. Diagnostic performance and cost of CT angiography versus stress ECG–a randomized prospective study of suspected acute coronary syndrome chest pain in the emergency department (CT-COMPARE). Int. J. Cardiol. 2014; 177(3), 867–73. doi:10.1016/j.ijcard.2014.10.090
  14. Gray AJ, Roobottom C, Smith JE, Goodacre S, Oatey K, O’Brien R et al. Early computed tomography coronary angiography in patients with suspected acute coronary syndrome: randomised controlled trial. BMJ. 2021; 374: n2106. doi:10.1136/bmj.n2106.

Module Content