tient comes into the ED complaining of chest pain, an EKG is performed, blood tests are done, the pain is treated and then the patient is admitted to the hospital for further testing to make sure they are not having a heart attack," explains Harold Litt, MD, PhD, Chief of Cardiovascular Imaging in Radiology at HUP. "But now, after assessing the likelihood that it's actually coronary artery disease causing the chest pain -- based on family history and other factors -- low-risk patients can have this CT scan quickly, and within two to three hours of arriving in the ED, we can tell whether or not the patient has coronary disease and needs to stay in the hospital or if he can be sent home. The test itself takes only about five minutes, and can also show us many causes of chest pain not related to the heart."
"In the end, we hope to find patients that we can send home right away because nearly 85 percent don't have ischemic coronary artery disease," said Judd Hollander, MD, the emergency medicine physician leading the study at HUP. "This is useful to Emergency Department physicians to find the 15 percent who actually do."
William Baxt, MD, Chair of the Department of Emergency Medicine at Penn, adds, "This utilization of multi-slice CT in the ED may help us catch the patients who we might have initially thought were safe to go home, but they're not. They need further treatment and observation for heart disease."
Dr. Baxt further explains, "On the other side, this potentially could save society vast amounts of money by foregoing unnecessary admission into hospitals for further testing. Also, more beds as well as emergency medicine personnel would be available to treat the really ill patients who need care."
Page: 1 2 Related medicine news :1
Contact: Susanne Hartman
University of Pennsylvania School of Medicine
. Spinal manipulation in children studied2
. New blood thinner studied for patients with leg and lung clots3
. ACTOS (pioglitazone HCl) to be studied in new trial4
. Use of high hydrostatic pressure to inactivate Hepatitis A virus in oysters studied5
. Long-term outcomes studied for stem cell transplant recipients6
. New treatments for common vaginal infection being studied7
. RAND finds cases of undiagnosed diabetes drop sharply8
. New Mayo Clinic MRI technology enables noninvasive liver diagnoses9
. Breast MRI may help determine surgical management of women with newly diagnosed breast cancer10
. Electronic nose may help diagnose asthma11
. New blood test can diagnose and monitor treatment of Parkinsons disease