Acute chest pain is a common and challenging reason for emergency department visits and requires prompt and systematic evaluation to address potential life-threatening conditions, minimize risks and manage emergency department overcrowding. This updated consensus statement outlines the appropriate management of patients presenting to the emergency department with acute chest pain, emphasizing the timing and utility of non-invasive advanced imaging (particularly coronary computed tomography angiography) aiming to improve rapid and accurate diagnosis of both cardiac or non-cardiac causes improving patient safety, outcomes, and resource utilization efficiency. The writing committee was composed of members and experts from both the Italian Society of Cardiology (SIC) and the Italian Society of Medical and Interventional Radiology (SIRM) who worked jointly to create a cohesive approach in the field of acute chest pain. This structured approach may streamline diagnostic workflows in the emergency setting and support earlier, more appropriate patient management.
Keywords: Acute chest pain; Acute coronary syndrome; Cardiac Magnetic Resonance (CMR); Consensus statement; Coronary Computed Tomography Angiography (CCTA); Emergency department.
© 2025. The Author(s).