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It also states that the subject should have a normal or stable chest radiograph and not be on medications that could cause chronic cough, including angiotensin-converting enzyme (ACE) inhibitors.
These results come on the back of another prominent trial published last year, which showed that stents used to relieve blockages in patients with stable chest pain provided no benefit over medications.
Both trials show that coronary computed tomography angiography should have a greater role in the diagnostic pathway of patients with stable chest pain.
The overall goal of this review is to distill the data generated from these 2 pivotal trials to better inform the practicing clinician in the selection of noninvasive testing for stable chest pain.
Open image in new window Fig. 5 A 71-year-old male patient who presented with stable chest pain syndrome and a history of cigarette smoking, hyperlipidaemia and hypertension.
SCOT-HEART (Scottish COmputed Tomography of the HEART) and PROMISE (PROspective Multicenter Imaging Study for Evaluation of chest pain) represent the 2 largest and most comprehensive cardiovascular imaging outcome trials in patients with stable chest pain and provide significant insights into patient diagnosis, management, and outcomes.
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Assuming a stable chest-wall elastance (Ecw) during the daily time intervals of the study protocol, the observed increase in respiratory compliance (that is, decrease in respiratory elastance) should reflect a decrease in lung elastance (EL) due to HFO-TGI-associated recruitment [ 16- 19].
c The patient was followed with stable limited chest pain.
Haemoblobin levels remained stable, and chest radiography showed no signs of haemothorax.
In brief, patients with a primary percutanous coronary intervention (PCI) treated STEMI were included if they were stable, without chest pain or nausea, age < 85 years and with serum creatinine < 200 umol/L.
In brief, patients with a primary PCI treated STEMI were included if they were hemodynamically stable, without chest pain or nausea, age < 85 years and with serum creatinine < 200 umol/L.
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