Diagnostic Value of Multislice Spiral CT Cardiothoracic Combined with Angiography in Acute Chest Pain.

Yinggan Du,Zetian Yang,Zhihan Lv

doi:10.1155/2021/5549971

Abstract

Acute chest pain is a common clinical emergency condition with a variety of causes, including acute coronary syndrome, pulmonary embolism, aortic coarctation, and pneumothorax. It is essential for emergency physicians to quickly and accurately understand the cause of acute chest pain. 64-slice spiral CT combined cardiothoracic angiography is an accurate and rapid way to diagnose and differentiate the cause of acute chest pain. 64-slice combined cardiothoracic angiography can accurately and rapidly display the thoracic aorta, both pulmonary arteries, the main trunk of the coronary artery and its major branches, and also provide a comprehensive view of both lungs and mediastinum, which is an effective test for the diagnosis and differential diagnosis of acute chest pain. Based on this, this study further investigated the value of 64-slice spiral CT triplex examination in the diagnosis of acute chest pain. The results showed that 64-slice spiral CT has the advantages of fast scanning speed, high resolution, and advanced postprocessing technology, and combined cardiothoracic angiography can quickly and accurately help emergency physicians analyze the cause of acute chest pain, which plays a very important role in formulating the correct treatment plan in a timely manner. At the same time, with the continuous development of CT technology, the temporal and spatial resolution has improved the quality of CT images, giving us more options to reduce the effective radiation dose and reduce the total amount of contrast, making the 64-row spiral CT cardiothoracic imaging more perfect.

Highlights

Acute chest pain is considered to be one of the most common causes of emergency care in adult patients [1]
Diagnosis and reasonable and active treatment are the keys to reduce the mortality rate. e main symptom of the entrapment is a sudden onset of severe tearing pain with very characteristic manifestations, and the pain can migrate downward. e site of pain often correlates with the location of the rupture tear, such as anterior pain located in the chest, suggesting that the tear may be located in the ascending aorta, while back pain is closely related to descending aortic entrapment. e main types of aortic coarctation in typing are type and type, which are based on whether the ascending aorta is involved
All 42 patients in this group showed the above vessels clearly in one scan, as shown in Figure 7, and made a correct diagnosis of their diseases. e main symptom of the entrapment is a sudden onset of severe tearing pain with very characteristic manifestations, and the pain can migrate downward. e site of pain often correlates with the location of the rupture tear, such as anterior pain located in the chest, suggesting that the tear may be located in the ascending aorta, while back pain is closely related to descending aortic entrapment. ere are two main types of aortic staging: staging and staging. e main types of aortic coarctation in typing are type and type, which are based on whether the ascending aorta is involved

Summary

Introduction

Acute chest pain is considered to be one of the most common causes of emergency care in adult patients [1]. E differential diagnosis between acute coronary syndrome, pulmonary embolism, and the acute aortic syndrome is very easy for patients with acute chest pain with high-risk factors because the disease has typical clinical symptoms or laboratory tests. In addition to its diagnostic feasibility, the test has other advantages, such as the ability to reduce the number of diagnostic tests, the time of the patient’s examination, and the cost of medical tests [20] It provides a cost-effective modality for patients presenting to the emergency department with acute chest pain [21]. 64-slice combined cardiothoracic angiography can accurately and rapidly display the thoracic aorta, both pulmonary arteries, the main trunk of the coronary arteries and their major branches, and provide a comprehensive picture of the two lungs and mediastinum, which is an effective examination method for the diagnosis and differential diagnosis of the cause of acute chest pain. 64-row spiral CT cardiothoracic combined angiography was performed on 42 patients with acute chest pain to explore the value of 64-row spiral CT cardiothoracic combined angiography in the diagnosis of the cause of acute chest pain

Data and Methods

Diagnosis of Acute Chest Pain

Conclusion