Filtered By:
Procedure: Angiography

This page shows you your search results in order of relevance.

Order by Relevance | Date

Total 8742 results found since Jan 2013.

Leg pain when you walk? Don ’t ignore it
Walking is often touted as a perfect exercise to improve multiple aspects of health. But what if walking causes leg pain? Many people shrug off leg pain when they walk as a normal part of aging. In some cases, though, it’s the sign of peripheral artery disease (PAD), which can put heart and brain health at risk. While PAD doesn’t usually run in families, it’s more likely to occur as people age, or among people who smoke or have high blood pressure, high cholesterol, or diabetes. What causes leg pain if you have PAD? People with PAD have fatty deposits in arteries outside the heart — most often in their legs. Pain o...
Source: Harvard Health Blog - September 6, 2019 Category: Consumer Health News Authors: Kelly Bilodeau Tags: Exercise and Fitness Healthy Aging Heart Health Hypertension and Stroke Pain Management Source Type: blogs

Chest Pain in an Out‐of‐Hospital Emergency Setting: No Relationship Between Pain Severity and Diagnosis of Acute Myocardial Infarction
ConclusionIn our out‐of‐hospital emergency setting, the severity of chest pain was not a useful diagnostic criterion for AMI.
Source: Pain Practice - March 1, 2014 Category: Anesthesiology Authors: Michel Galinski, Diane Saget, Mirko Ruscev, Geraldine Gonzalez, Lydia Ameur, Frédéric Lapostolle, Frédéric Adnet Tags: Original Article Source Type: research

Treating Chest Pain With a Cup of Tea
By ANISH KOKA, MD It is very early.  I am running to the ‘clinical decision unit’ (CDU) to see a patient of mine sent in the night before from a local skilled nursing facility.  Also known as clinical observation units,  ‘obs’ units, or short stay observation units, these units were designed to help decompress busy emergency rooms and divert unnecessary, expensive inpatient admissions.  The units are typically adjacent to emergency departments, and usually are run by emergency physicians. My particular patient was admitted due to an episode of chest pain at her facility.  A brief conversation t...
Source: The Health Care Blog - January 9, 2016 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized CCTA Chest Pain EHR Source Type: blogs

Can ED chest pain patients with intermediate HEART scores be managed as outpatients?
CONCLUSION: This study demonstrates that rapid access clinics are likely a safe alternative to admission for intermediate-risk chest pain patients and could reduce costly inpatient admissions for chest pain. With angiography excluded, MACE rates were well below the American College of Emergency Physicians cited 2% threshold.PMID:36129627 | DOI:10.1007/s43678-022-00355-4
Source: Pain Physician - September 21, 2022 Category: Anesthesiology Authors: Aisha Moustapha Alicia C Mah Lauren Roberts Andrew Leach Glenda Kaban Rodney Zimmermann Jay Shavadia Jason Orvold Prosanta Mondal Lynsey J Martin Source Type: research

Epicardial adipose tissue and obstructive coronary artery disease in acute chest pain: the EPIC-ACS study
CONCLUSION: Epicardial adipose tissue strongly and independently predicts the presence of obstructive CAD in patients presenting with acute chest pain to the emergency department. Our results suggest that the assessment of EAT may improve diagnostic algorithms of patients with acute chest pain.PMID:37143611 | PMC:PMC10152391 | DOI:10.1093/ehjopen/oead041
Source: Pain Physician - May 5, 2023 Category: Anesthesiology Authors: Stefanie Jehn Anja Roggel Iryna Dykun Bastian Balcer Fadi Al-Rashid Matthias Totzeck Joachim Risse Clemens Kill Tienush Rassaf Amir A Mahabadi Source Type: research

Coronary CT angiography decreases the length of stay in emergency department versus standard therapy in patients presenting with acute chest pain, but results in increased downstream testing and radiation exposure
This study was a prospective, multicentre, randomised, strategy-controlled trial with the prespecified primary endpoint being length of...
Source: Evidence-Based Medicine - July 5, 2013 Category: Internal Medicine Authors: Min, J. K., Arsanjani, R. Tags: Health policy, Epidemiologic studies, Drugs: cardiovascular system, Pain (neurology), Ischaemic heart disease, Radiology, Clinical diagnostic tests, Radiology (diagnostics), Health economics, Health service research Therapeutics Source Type: research

Clinical outcomes following coronary CT angiography are comparable to radionuclide myocardial perfusion imaging for ethnically diverse intermediate risk acute chest pain inpatients
Commentary on: Levsky JM, Spevack DM, Travin MI, et al. Coronary computed tomography angiography versus radionuclide myocardial perfusion imaging in patients with chest pain admitted to telemetry. Ann of Internal Med 2015;163:174–84 . Context Since the evolution of 64-multidetector CT in the early 2000s, use of coronary CT angiography (CCTA) has experienced rapid expansion due to excellent sensitivity to exclude obstructive coronary artery disease (CAD) in low to intermediate risk chest pain patients.1 Prior studies of acute chest pain patients have demonstrated a diagnostic strategy using CCTA to have comparable saf...
Source: Evidence-Based Medicine - November 24, 2015 Category: Internal Medicine Authors: Crimm, H., Hulten, E. Tags: EBM Diagnosis, Palliative care, Patients, Health policy, Clinical trials (epidemiology), Drugs: cardiovascular system, Pain (neurology), Ischaemic heart disease, Radiology, Clinical diagnostic tests, Radiology (diagnostics), Health service research Source Type: research

Focused carotid ultrasound to predict major adverse cardiac events among emergency department patients with chest pain
CONCLUSIONS: The presence of carotid plaque on sonographer-performed FOVUS is associated with 30-day MACE in ED patients presenting with chest pain. The prognostic performance of FOVUS is not sufficient to support its use as a stand-alone risk stratification tool in the ED. Future work should investigate FOVUS in conjunction with validated clinical decision rules for chest pain and the impact of enhanced training and quality improvement in the conduct of FOVUS by emergency physicians.REGISTRATION: This study was registered at clinicaltrials.gov (NCT02947360).PMID:36315347 | DOI:10.1007/s43678-022-00395-w
Source: Pain Physician - October 31, 2022 Category: Anesthesiology Authors: Steven C Brooks Marco L A Sivilotti Marie-France H étu Patrick A Norman Andrew G Day Nicole O'Callaghan Vlad Latiu Joseph Newbigging Braeden Hill Amer M Johri Source Type: research

Coronary CT angiography reduces unnecessary admissions and allows safe discharge of emergency department patients with low-to-intermediate risk chest pain
Commentary on: Litt HI, Gatsonis C, Snyder B, et al.. CT angiography for safe discharge of patients with possible acute coronary syndromes. N Engl J Med 2012;366:1393–403. Context Chest pain is the second-most common reason for visiting the emergency department (ED). Due to diagnostic uncertainty and medicolegal concerns, many such patients are admitted to undergo diagnostic evaluation to exclude acute coronary syndromes (ACS). The availability of a safe, rapid, non-invasive and highly accurate diagnostic test to exclude ACS has remained a holy grail in the ED. Methods A total of 1370 low-to-intermediate risk adult p...
Source: Evidence-Based Medicine - March 19, 2013 Category: Internal Medicine Authors: Singer, A. J., Poon, M. Tags: Palliative care, Drugs: cardiovascular system, Pain (neurology), Ischaemic heart disease, Venous thromboembolism, Radiology, Pulmonary embolism, Clinical diagnostic tests, Radiology (diagnostics), Legal and forensic medicine, Guidelines Therapeutics Source Type: research

CT coronary angiography: new risks for low-risk chest pain
Widespread conservative management of low-risk chest pain has motivated the development of a rapid triage strategy based on CT coronary angiography (CTCA) in the Emergency Department (ED). Recently, three prominent trials using this technology in the ED setting have presented results in support of its routine use. However, these studies fail to show the incremental prognostic value of CTCA over clinical and biomarker-based risk-stratification strategies, demonstrate additional downstream costs and interventions, and result in multiple harms associated with radio-contrast and radiation exposure. Observing the widespread ove...
Source: Emergency Medicine Journal - September 7, 2013 Category: Emergency Medicine Authors: Radecki, R. P. Tags: Pain (neurology), Venous thromboembolism, Radiology, Pulmonary embolism, Clinical diagnostic tests, Radiology (diagnostics) Short report Source Type: research

A pain in the neck
A 41-year-old woman presented to the emergency department after developing severe neck pain while unloading groceries. The pain began at the base of her neck, radiated to the vertex of the skull, reached maximum intensity within 2–3 min, and was aggravated by head movement. Neurological examination was normal. Head CT showed focal hyperattenuation immediately anterior to the midbrain (figure 1) and angiogram showed no evidence of aneurysm (see online supplementary figure 1). Diagnosis: Perimesencephalic nonaneurysmal subarachnoid haemorrhage (PN-SAH). Originally described in 1985,1 PN-SAH has been reported in pa...
Source: Emergency Medicine Journal - October 17, 2014 Category: Emergency Medicine Authors: Lindor, R. A., Homme, J. L. Tags: Headache (including migraine), Pain (neurology), Stroke, Ethics Images in emergency medicine Source Type: research

CT coronary angiography increases diagnostic certainty in patients with stable chest pain
Commentary on: SCOT-HEART Investigators. CT coronary angiography in patients with suspected angina due to coronary heart disease (SCOT-HEART): an open-label, parallel group, multicentre trial. Lancet 2015;385:2383–91. Context CT coronary angiography (CTCA) is an imaging technique for the detection of coronary heart disease (CHD) in patients with chest pain and equivocal results of non-invasive tests.1 2 Prior trials have focused on assessing the accuracy of CTCA with other techniques for the identification of coronary disease.3 4 The benefit of CTCA in patients with stable chest pain has not been systematically asses...
Source: Evidence-Based Medicine - September 24, 2015 Category: Internal Medicine Authors: Sabate, M., Ishida, K. Tags: EBM Diagnosis, Geriatric medicine, Journalology, Drugs: cardiovascular system, Pain (neurology), Ischaemic heart disease, Radiology, Clinical diagnostic tests, Radiology (diagnostics), Ethics Source Type: research

Detection Rate of Intravascular Injections during Cervical Medial Branch Blocks: A Comparison of Digital Subtraction Angiography and Static Images from Conventional Fluoroscopy.
CONCLUSIONS: According to these findings, the use of DSA can improve the detection rate of intravascular injections during CMBBs. The use of DSA may therefore lead to an increase in the diagnostic and therapeutic value of CMBBs. In addition, it can decrease the incidence of potential side effects during CMBBs. PMID: 25852831 [PubMed]
Source: Korean Journal of Pain - December 1, 2015 Category: Anesthesiology Tags: Korean J Pain Source Type: research

The incremental value of stress testing in patients with acute chest pain beyond serial cardiac troponin testing
Conclusions The incremental value of stress testing was the identification of an additional 34 (4.5% (95% CI 3.0% to 6.0%)) patients who underwent index admission revascularisation with a view to preventing future adverse events. Uncertainty in whether revascularisation prevents adverse events in patients with negative cTn means the choice to undertake stress testing depends on whether clinicians perceive value in identifying 4.5% of these patients for revascularisation. Clinical trial registrations ACTRN1260900028327, ACTRN12611001069943.
Source: Emergency Medicine Journal - April 19, 2016 Category: Emergency Medicine Authors: Aldous, S., Richards, A. M., Cullen, L., Pickering, J. W., Than, M. Tags: Drugs: cardiovascular system, Echocardiography, Pain (neurology), Acute coronary syndromes, Radiology, Clinical diagnostic tests, Radiology (diagnostics) Original article Source Type: research