R.E.B.E.L. EM – Coronary Computed Tomography Angiography (CCTA): The Holy Grail of “Low Risk” Chest Pain Evaluation?
CCTA has become a popular modality in the ED setting to assess anatomic atherosclerotic disease in patients presenting with chest pain. Advocates of CCTA feel that CCTA has a greater accuracy in identifying obstructive coronary artery disease and identification of high-risk disease compared to standard physiologic testing. However, many published trials on CCTA were not adequately powered to evaluate patient oriented end points.