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
收藏
页码：W26 / W38
页数：13
相关论文
共 50 条
[31]   Management strategies for patients with low-risk chest pain in the emergency department [J].
Yiadom M.Y.A.B. ;
Kosowsky J.M. .
Current Treatment Options in Cardiovascular Medicine, 2011, 13 (1) :57-67
[32]   Triage of Patients Presenting With Chest Pain to the Emergency Department: Implementation of Coronary CT Angiography in a Large Urban Health Care System [J].
Cury, Ricardo C. ;
Feuchtner, Gudrun M. ;
Batlle, Juan C. ;
Penato, Constantino S. ;
Janowitz, Warren ;
Katzen, Barry T. ;
Ziffer, Jack A. .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2013, 200 (01) :57-65
[33]   Likelihood of acute coronary syndrome in emergency department chest pain patients varies with time of presentation [J].
Ulf Ekelund ;
Mahin Akbarzadeh ;
Ardavan Khoshnood ;
Jonas Björk ;
Mattias Ohlsson .
BMC Research Notes, 5 (1)
[34]   High-sensitivity troponin assays in the evaluation of patients with acute chest pain in the emergency department [J].
Christ, Michael ;
Bertsch, Thomas ;
Popp, Steffen ;
Bahrmann, Philipp ;
Heppner, Hans-Juergen ;
Mueller, Christian .
CLINICAL CHEMISTRY AND LABORATORY MEDICINE, 2011, 49 (12) :1955-1963
[35]   A simple statistical model for prediction of acute coronary syndrome in chest pain patients in the emergency department [J].
Björk J. ;
Forberg J.L. ;
Ohlsson M. ;
Edenbrandt L. ;
Öhlin H. ;
Ekelund U. .
BMC Medical Informatics and Decision Making, 6 (1)
[36]   Triaging patients with acute chest pain in the emergency department: implications of the CT-STAT trial [J].
Malpeso, Jennifer M. ;
Budoff, Matthew J. .
EXPERT REVIEW OF CARDIOVASCULAR THERAPY, 2012, 10 (02) :155-157
[37]   Inequality in the management of ischemic chest pain in the emergency department from a gender perspective [J].
Perez Corral, Maria ;
Urcola Pardo, Fernando ;
Fernandez Rodrigo, Ma Teresa ;
Benito Ruiz, Eva ;
Satustegui Dorda, Pedro Jose .
REVISTA ESPANOLA DE SALUD PUBLICA, 2019, 93
[38]   Role of cardiological specialistic evaluation in patients with chest pain presenting in the emergency department [J].
Fiore, Giorgio ;
Di Maio, Silvana ;
Oppizzi, Michele ;
De Angelis, Mario ;
Spessot, Marzia ;
Spoladore, Roberto ;
Slavich, Massimo ;
Bianchi, Gianluca ;
Setti, Eleonora ;
Di Napoli, Davide ;
Margonato, Alberto ;
Fragasso, Gabriele .
JOURNAL OF CARDIOVASCULAR MEDICINE, 2022, 23 (06) :363-370
[39]   The potential role for the use of cardiac computed tomography angiography for the acute chest pain patient in the emergency department: A cautionary viewpoint [J].
Hendel, Robert ;
Dahdah, Naim .
JOURNAL OF NUCLEAR CARDIOLOGY, 2011, 18 (01) :163-167
[40]   Considerations for early acute myocardial infarction rule-out for emergency department chest pain patients: the case of copeptin [J].
Lippi, Giuseppe ;
Plebani, Mario ;
Di Somma, Salvatore ;
Monzani, Valter ;
Tubaro, Marco ;
Volpe, Massimo ;
Moscatelli, Paolo ;
Vernocchi, Arialdo ;
Cavazza, Mario ;
Galvani, Marcello ;
Cappelletti, Piero ;
Marenzi, Giancarlo ;
Ferraro, Simona ;
Lombardi, Alberto ;
Peracino, Andrea .
CLINICAL CHEMISTRY AND LABORATORY MEDICINE, 2012, 50 (02) :243-253
12345