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CT in the Emergency Department

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Workshops Board Review Course Pre-Program
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The SCCT Coronary CTA in the Emergency Department Educational Program is a half-day program designed to educate those engaged in managing acute chest pain (e.g. ED physicians, cardiologist, radiologists, internists, physician assistants, and nurse practitioners) on the benefits and limitations of cardiovascular CT as a diagnostic tool. The program is divided into two sessions. The first sessions will cover the basic topics in coronary CTA in the ED populations. The second sessions will include debates on novel and controversial topics.

The following and other critical questions will be answered:

 
• What is the current evidence for the use of coronary CTA in patients with acute chest pain in the Emergency Department?
• How to build a successful coronary CTA program for ED patients (indications, populations selections, reporting, etc.)?
• What is the role of coronary CTA in specific subgroups (e.g. women, older patients, patients with severe coronary calcium)?

 

CT in the Emergency Department Part 1

9:00 am – 10:15 am

Basics of the CT in the ED

Topics Include:

  • Current evidence and guidelines for the use of CT in the ED patients with suspected ACS
  • How to build a successful ED program
  • CT in the ED in subpopulations: women vs. men, older vs. younger patients, effect of coronary calcium
  • Real life experience with CT in the ED programs

Chairs:  

Udo Hoffmann, MD, MPH 
Gilbert Raff, MD, FSCCT

9:00AM - Current Evidence and Guidelines for the Use of CT in the Emergency Department: Patients with Suspected ACS - Udo Hoffmann, MD, MPH

9:15AM - How to Build a Successful Emergency Department Program - Michael T. Lu, MD

9:30AM - CT in the Emergency Department in Subpopulations: Women vs. Men, Older vs. Younger Patients, Effect of Coronary Calcium - Quynh Anh Truong, MD, MPH

9:45AM - Real Life Experience with CT in the Emergency Department - Brian B. G. Ghoshhajra, MD, FSCCT 

10:00AM - Discussion and Questions 

 

 


CT in the Emergency Department Part 2

10:30 am – 12:15 pm

Debates and Controversies in the CT in the ED

Topics Include:

  • Coronary calcium scan is sufficient for the evaluation of patients with low to intermediated risk for ACS in the ED
  • The evaluation of FFRCT is an integral part of the CT in the ED evaluation
  • The assessment of coronary plaque is critical for the initial diagnosis and follow-up of patients who present to the ED with acute chest pain
  • CT has limited role for the evaluation of ED patients with suspected ACS in the era of highly-sensitive troponin assays

 

Chairs:  

Udo Hoffmann, MD, MPH 
Gilbert Raff, MD, FSCCT


10:30AM - Coronary Calcium Scan is Sufficient for the Evaluation of Patients with Low to Intermediate Risk for ACS in the Emergency Department: Pro - Khurram Nasir, MD, MPH

10:40AM - Coronary Calcium Scan is Sufficient for the Evaluation of Patients with Low to Intermediate Risk for ACS in the Emergency Department: Con - Matthew Budoff, MD, FSCCT

10:50AM - Discussion

10:55AM - The Evaluation of FFRCT is an Integral Part of CT in the Emergency Department Evaluation: Pro - Gilbert Raff, MD, FSCCT

11:05AM - The Evaluation of FFRCT is an Integral Part of CT in the Emergency Department Evaluation: Con - Charles S. White, MD

11:15AM - Discussion

11:20AM - The Assessment of Coronary Plaque is Critical for the Initial Diagnosis and Follow-up of Patients who Present to the Emergency Department with Acute Chest Pain: Pro - Pal Maurovich-Horvat, MD, PhD, MPH, FSCCT

11:30AM - The Assessment of Coronary Plaque is Critical for the Initial Diagnosis and Follow-up of Patients who Present to the Emergency Department with Acute Chest Pain: Con - Ronen Rubinshtein, MD 

11:40AM - Discussion

11:45AM - CT has Limited Role for the Evaluation of Emergency Department Patients with Suspected ACS in the Era of Highly Sensitive Troponin Assays: Pro - Koen Nieman, MD, PhD, FSCCT

11:55AM - CT has Limited Role for the Evaluation of Emergency Department Patients with Suspected ACS in the Era of Highly Sensitive Troponin Assays: Con - Maros Ferencik, MD, FSCCT

12:05PM - Discussion and Session Wrap-Up