In patients with low risk chest pain (TIMI score 0-2), this large trial randomized patients to usual care, or to CTA imaging. Of those with a negative CTA, none experienced death or MI within 30 days. Those in the CTA group had higher rates of ED discharge (50% vs 23%) and shorter total LOS (18 vs 25 hours). CTA (in experienced centers with low variability in reads, and real-time availability) can be used to expedite safe discharges in low risk ACS (abstract)
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.