33-year-old, low risk of acute coronary syndrome, presents to off-hour ED with acute chest pain (IMAGE)

American Roentgen Ray Society

33-year-old, low risk of acute coronary syndrome, presents to off-hour ED with acute chest pain

Caption

Patient underwent coronary CTA using 64-detector row SSCT scanner, with heart rate control. Mean heart rate during acquisition was 89 bpm. Curved MPR images of right coronal artery (A), left anterior descending coronary artery (B), and left circumflex coronary artery (C) show poor image quality. Severe motion artifact is present in distal segments of RCA and LCX, and additional artifact from chest wall movement is present in proximal portion of left main coronary artery, leading to nondiagnostic examination. CT completion time was 236 minutes, disposition time was 79 minutes, and ED LOS was 601 minutes. Patient was discharged from ED without cardiology consultation, and did not undergo invasive coronary angiography or revascularization, nor experienced 30-day all-cause mortality or major adverse cardiovascular event.

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ARRS/AJR

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