Triage using coronary CTA permits early discharge from ER

November 30, 2008 DiagnosticImaging.com. Triage using coronary CTA permits early discharge from ER By James Brice Results of a three-year trial at Massachusetts General Hospital show that half of patients presenting with chest pain but at low or intermediate risk of acute coronary syndrome can be safely discharged following a negative 64-slice coronary CT evaluation. The Rule-out Myocardial Infarction Using Computer-Assisted Tomography (ROMICAT) study prospectively evaluated 368 patients who underwent contrast-enhanced 64-slice coronary CT angiography after the determination of low or intermediate risk of ACS upon arrival in the emergency room of the Heart Center at MGH. Imaging investigated patients' coronary arteries for the presence of atherosclerotic plaque and significant (>50%) arterial stenosis.

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