In this prospective single institution cohort of over 500 patients evaluated in the ED for chest pain, those at low risk for ACS (TIMI risk 0-2), underwent coronary CTA (1 group with immediate CTA and 1 group with CTA after short observation stay). Those with low risk CTA (calcium score <100 and no stenosis >50%) were discharged home. Those in the immediate CTA group were discharged at a median of 7 hours, and the observation group were discharged at a median of 21 hours. None of those discharged had a CV event or MI at 1 month follow up. This adds to the mounting literature of the safety of early triage and disposition of low risk chest pain patients with coronary CTA (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.