FIGURE.

Responsible use of cardiac computed tomography in evaluating chest pain. This flow diagram incorporates coronary computed tomographic angiography (CTA) in a suggested framework for evaluating a patient with acute chest pain. See the American Heart Association criteria for further detail on the assessment of pretest probability.⁵⁸ CAD = coronary artery disease; ECG = electrocardiogram; echo = echocardiography; SPECT = single-photon emission computed tomography.

Data from J Am Coll Radiol.⁵⁶