Cinical Evaluation Is As Good As Non Invasive Test For Acute Chest Pain In Emergency

 Patients experiencing chest pain often undergo imaging  as CT Angiography and stress echocardiography  tests that do not change treatment decisions, even when clinical examination with a simple Electro Cardiogram determines low risk of a cardiac event, according to a secondary finding from a retrospective analysis of the Rule Out Myocardial Ischemia/Infarction by Computer Assisted Tomography (ROMICAT-II) trial, presented at the 2017 Annual Scientific Sessions of the American Heart Association (AHA). The only effects of noninvasive additional testing are prolonging a padotient’s stay at the hospital and exposing patients to more ionising radiation, commented presenter from Washington University.

In the ROMICAT-II trial, investigators randomised 1,000 patients with acute chest pain into 2 groups that would receive either coronary computed tomography (CT) or stress testing to rule out a…