Imaging Strategies for Acute Chest Pain in the Emergency Department

被引：15

作者：

Dedic, Admir ^{[1
,2
]}

Genders, Tessa S. ^{[1
,3
]}

Nieman, Koen ^{[1
,2
]}

Hunink, Myriam G. M. ^{[1
,3
,4
]}

机构：

[1] Erasmus Univ, Med Ctr, Dept Radiol, NL-3000 CA Rotterdam, Netherlands

[2] Erasmus Univ, Med Ctr, Dept Cardiol, NL-3000 CA Rotterdam, Netherlands

[3] Erasmus Univ, Med Ctr, Dept Epidemiol, NL-3000 CA Rotterdam, Netherlands

[4] Harvard Univ, Harvard Sch Publ Hlth, Dept Hlth Policy & Management, Boston, MA 02115 USA

来源：

AMERICAN JOURNAL OF ROENTGENOLOGY | 2013年 / 200卷 / 01期

关键词：

acute chest pain; acute coronary syndrome; coronary CT angiography; echocardiography; nuclear perfusion imaging; ACUTE CORONARY SYNDROMES; MULTIDETECTOR COMPUTED-TOMOGRAPHY; ACUTE MYOCARDIAL-INFARCTION; ACUTE CARDIAC ISCHEMIA; TECHNETIUM-99M STANNOUS PYROPHOSPHATE; RADIATION-DOSE REDUCTION; LOW-RISK PATIENTS; STRESS-ECHOCARDIOGRAPHY; DIAGNOSTIC PERFORMANCE; NONINVASIVE ASSESSMENT;

D O I：

10.2214/AJR.11.8296

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

OBJECTIVE. Echocardiography, radionuclide myocardial perfusion imaging (MPI), and coronary CT angiography (CTA) are the three main imaging techniques used in the emergency department for the diagnosis of acute coronary syndrome (ACS). The purpose of this article is to quantitatively examine existing evidence about the diagnostic performance of these imaging tests in this setting. CONCLUSION. Our systematic search of the medical literature showed no significant difference between the modalities for the detection of ACS in the emergency department. There was a slight, positive trend favoring coronary CTA. Given the absence of large differences in diagnostic performance, practical aspects such as local practice, expertise, medical facilities, and individual patient characteristics may be more important.

引用

页码：W26 / W38

页数：13

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