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

共 50 条

[41] Evaluation of myocardial CT perfusion in patients presenting with acute chest pain to the emergency department: comparison with SPECT-myocardial perfusion imaging [J].

Feuchtner, Gudrun Maria ;

Plank, Fabian ;

Pena, Constantino ;

Battle, Juan ;

Min, James ;

Leipsic, Jonathon ;

Labounty, Troy ;

Janowitz, Warren ;

Katzen, Barry ;

Ziffer, Jack ;

Cury, Ricardo C. .

HEART, 2012, 98 (20) :1510-1517

[42] Multi-Marker Approach in Patients with Acute Chest Pain in the Emergency Department [J].

Piccioni, Andrea ;

Baroni, Silvia ;

Manca, Federica ;

Sarlo, Francesca ;

Savioli, Gabriele ;

Candelli, Marcello ;

Bronzino, Alessandra ;

Covino, Marcello ;

Gasbarrini, Antonio ;

Franceschi, Francesco .

JOURNAL OF PERSONALIZED MEDICINE, 2024, 14 (06)

[43] Initial Evaluation and Management of Patients Presenting with Acute Chest Pain in the Emergency Department [J].

Paul Y. Lee ;

Kyrollos Saad ;

Afif Hossain ;

Irene Lieu ;

Joseph Allencherril .

Current Cardiology Reports, 2023, 25 :1677-1686

[44] CHEST PAIN UNITS: OPTIMAL MANAGEMENT OF PATIENTS WITH CHEST PAIN IN THE EMERGENCY DEPARTMENT [J].

Bassan, Roberto ;

Bassan, Fernando .

REVISTA DE LA FEDERACION ARGENTINA DE CARDIOLOGIA, 2011, 40 (01) :17-22

[45] CT Coronary Angiography Is the Most Accurate and Effective Noninvasive Imaging Tool for Evaluating Patients Presenting With Chest Pain to the Emergency Department [J].

Hoffmann, Udo ;

Bamberg, Fabian .

CIRCULATION-CARDIOVASCULAR IMAGING, 2009, 2 (03) :251-263

[46] Stress myocardial perfusion imaging for the evaluation and triage of chest pain in the emergency department: A randomized controlled trial [J].

Swee Han Lim ;

Venkataraman Anantharaman ;

Felix Sundram ;

Edwin Shih-Yen Chan ;

Ee Sin Ang ;

Sui Lan Yo ;

Edward Jacob ;

Anthony Goh ;

Say Beng Tan ;

Terrance Chua .

Journal of Nuclear Cardiology, 2013, 20 :1002-1012

[47] Assessing risk in acute chest pain: The value of stress myocardial perfusion imaging in patients admitted through the emergency department [J].

Faisal Nabi ;

Su Min Chang ;

Jiaqiong Xu ;

Elizabeth Gigliotti ;

John J. Mahmarian .

Journal of Nuclear Cardiology, 2012, 19 :233-243

[48] Role of strain values using automated function imaging on transthoracic echocardiography for the assessment of acute chest pain in emergency department [J].

Lee, Mirae ;

Chang, Sung-A ;

Cho, Eun Jeong ;

Park, Sung-Ji ;

Choi, Jin-Oh ;

Lee, Sang-Chol ;

Oh, Jae K. ;

Park, Seung Woo .

INTERNATIONAL JOURNAL OF CARDIOVASCULAR IMAGING, 2015, 31 (03) :547-556

[49] Diagnostic values of chest pain history, ECG, troponin and clinical gestalt in patients with chest pain and potential acute coronary syndrome assessed in the emergency department [J].

Mokhtari, Arash ;

Dryver, Eric ;

Soderholm, Martin ;

Ekelund, Ulf .

SPRINGERPLUS, 2015, 4

[50] Non-invasive imaging in acute chest pain syndromes [J].

Sechtem, Udo ;

Achenbach, Stephan ;

Friedrich, Matthias ;

Wackers, Frans ;

Zamorano, Jose L. .

EUROPEAN HEART JOURNAL-CARDIOVASCULAR IMAGING, 2012, 13 (01) :69-78

← 1 2 3 4 5 →