Diagnostic performance of coronary CTA versus exercise electrocardiography in acute chest pain: A propensity score-matched study in the emergency department

Both ex-ECG and CCTA demonstrate comparable clinical impact and operational efficiency in patients with ACP and suspected NSTE-ACS. CCTA offers effective advantages with significantly reduced ED length-stay for a safe discharge of the patients, improving resource management without compromising diagnostic quality. These findings support the increasing adoption of CCTA in the diagnostic pathway for ACP and suspected NSTE-ACS in the ED setting.

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Publication Details

Journal
European Journal of Radiology Open
Published
2026-02-01
DOI
https://doi.org/10.1016/j.ejro.2026.100734
Primary Topic
Cardiac Imaging and Diagnostics
Type
article
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article

Diagnostic performance of coronary CTA versus exercise electrocardiography in acute chest pain: A propensity score-matched study in the emergency department

Alessio Perazzolo, Anna Rita Larici, Luigi Natale, Biagio Merlino et al.
European Journal of Radiology Open
Cardiac Imaging and Diagnostics
article

Diagnostic performance of coronary CTA versus exercise electrocardiography in acute chest pain: A propensity score-matched study in the emergency department

Alessio Perazzolo, Anna Rita Larici, Luigi Natale, Biagio Merlino, Marcello Covino, Francesco Lauriero, Massimo Muciaccia, Giuseppe Rovere, E Moliterno, Alessandro Marchetti, Gaetano Antonio Lanza, Giancarlo Savino, Francesco Franceschi, Lorenzo Giarletta, Domenico Amatulli, Francesco Burzotta, Antonio De Vita
article en

Abstract

Both ex-ECG and CCTA demonstrate comparable clinical impact and operational efficiency in patients with ACP and suspected NSTE-ACS. CCTA offers effective advantages with significantly reduced ED length-stay for a safe discharge of the patients, improving resource management without compromising diagnostic quality. These findings support the increasing adoption of CCTA in the diagnostic pathway for ACP and suspected NSTE-ACS in the ED setting.

European Journal of Radiology OpenVol. 16
Università Cattolica del Sacro Cuore (IT), Agostino Gemelli University Polyclinic (IT)
Decent work and economic growth
Openalex Percentile: Top 71%
Cardiac Imaging and Diagnostics
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