SIRM/SIC consensus document on the management of patients with acute chest pain

Acute chest pain is a common and challenging reason for emergency department visits and requires prompt and systematic evaluation to address potential life-threatening conditions, minimize risks and manage emergency department overcrowding. This updated consensus statement outlines the appropriate management of patients presenting to the emergency department with acute chest pain, emphasizing the timing and utility of non-invasive advanced imaging (particularly coronary computed tomography angiography) aiming to improve rapid and accurate diagnosis of both cardiac or non-cardiac causes improving patient safety, outcomes, and resource utilization efficiency. The writing committee was composed of members and experts from both the Italian Society of Cardiology (SIC) and the Italian Society of Medical and Interventional Radiology (SIRM) who worked jointly to create a cohesive approach in the field of acute chest pain. This structured approach may streamline diagnostic workflows in the emergency setting and support earlier, more appropriate patient management.

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Publication Details

Journal
La radiologia medica
Published
2025-09-23
DOI
https://doi.org/10.1007/s11547-025-02076-x
Citations
1
Primary Topic
Cardiac Imaging and Diagnostics
Type
article
Field-Weighted Citation Impact
1.36
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article

SIRM/SIC consensus document on the management of patients with acute chest pain

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1 citations
La radiologia medica
Cardiac Imaging and Diagnostics
1.36
article

SIRM/SIC consensus document on the management of patients with acute chest pain

Daniele Andreini, Paolo Calabrò, Vincenzo Russo, Antonio Esposito, Silvia Pradella, Riccardo Marano, Michele Oppizzi, Marco Guglielmo, Gianfranco Sinagra, Marco Matteo Ciccone, Andrea Laghi, Antonio Curcio, Nicola Galea, Scipione Carerj, Saverio Muscoli, Davide Tore, Massimo Slavich, Marco Francone, Luigi Natale, Doralisa Morrone, Stefania Paolillo, Serena Dell’Aversana, Fabrizio D’Ascenzo, Riccardo Faletti, Luca Saba, Davide Vignale, Luigi Lovato, Savina Nodari, Andrea Barison, Fabio Falzea, Alberto Polimeni, Francesco Barillà, Ciro Indolfi, Carmen Spaccarotella, Gianluca Pontone, Marco Gatti, Carlo Catalano, Sara Seitun, Italo Porto, Marcello Chiocchi, Cesare Mantini, Carlo Liguori, Rocco Antonio Montone, Anna Palmisano, Matteo Cameli, Carmine Dario Vizza, Pasquale Perrone Filardi, Andrea Giovagnoni
article en
1 citations

Abstract

Acute chest pain is a common and challenging reason for emergency department visits and requires prompt and systematic evaluation to address potential life-threatening conditions, minimize risks and manage emergency department overcrowding. This updated consensus statement outlines the appropriate management of patients presenting to the emergency department with acute chest pain, emphasizing the timing and utility of non-invasive advanced imaging (particularly coronary computed tomography angiography) aiming to improve rapid and accurate diagnosis of both cardiac or non-cardiac causes improving patient safety, outcomes, and resource utilization efficiency. The writing committee was composed of members and experts from both the Italian Society of Cardiology (SIC) and the Italian Society of Medical and Interventional Radiology (SIRM) who worked jointly to create a cohesive approach in the field of acute chest pain. This structured approach may streamline diagnostic workflows in the emergency setting and support earlier, more appropriate patient management.

La radiologia medicaVol. 130(12)
University of Siena (IT), Università Cattolica del Sacro Cuore (IT), University of Pisa (IT), University of Messina (IT), University of Rome Tor Vergata (IT), Humanitas University (IT), University of Trieste (IT), Vita-Salute San Raffaele University (IT), Scuola Superiore Sant'Anna (IT), University of Cagliari (IT), Utrecht University (NL), University of Campania "Luigi Vanvitelli" (IT), Agostino Gemelli University Polyclinic (IT), University Medical Center Utrecht (NL), University of Chieti-Pescara (IT), Azienda Ospedaliera Citta' della Salute e della Scienza di Torino (IT), Centro Cardiologico Monzino (IT), Fondazione Ricerca Molinette (IT), Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia (IT), Azienda Ospedaliero Universitaria Ospedali Riuniti (IT), Azienda Ospedaliero-Universitaria Careggi (IT), Ospedale Santa Maria (IT), Azienda USL di Bologna (IT), Ospedale San Giovanni Bosco (IT), Azienda Ospedaliero-Universitaria Cagliari (IT), Azienda Ospedaliera Sant'Andrea (IT), University of Campania "Luigi Vanvitelli" (IT), Ospedale Annunziata di Cosenza (IT), IRCCS Ospedale San Raffaele (IT), Policlinico Tor Vergata (IT), Ospedale Policlinico San Martino (IT), Ospedale Sant'Anna (IT), Istituti di Ricovero e Cura a Carattere Scientifico (IT), Fondazione Toscana Gabriele Monasterio (IT), IRCCS Humanitas Research Hospital (IT), Azienda Sanitaria Universitaria Integrata di Trieste (IT), Istituto di Ricovero e Cura a Carattere Scientifico San Raffaele (IT), University of Calabria (IT), University of Turin (IT), University of Bari Aldo Moro (IT), University of Reggio Calabria (IT), University of Naples Federico II (IT), University of Brescia (IT), Catholic University of America (US), Sapienza University of Rome (IT)
Openalex Percentile: Top 16%
Cardiac Imaging and Diagnostics
1.36
DOIOpen Access PDFOpenAlex
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