nach oben

Journal of Nuclear Cardiology

Erschienen in:

01.12.2017 | Editorial

Imaging for chest pain in the emergency room: Finding the right gate not the right gatekeeper

verfasst von: David G. Wolinsky, MD, FACC, MASNC

Erschienen in: Journal of Nuclear Cardiology | Ausgabe 6/2017

Einloggen, um Zugang zu erhalten

Excerpt

It is Friday morning at 11AM. A 68-year-old female with history of hypertension, hyperlipidemia, and depression comes to the ER with three weeks of near constant throbbing left arm, chest, and shoulder pain exacerbated by arm movement. ECG is normal, CPK is mildly elevated but troponin-T is normal. Her stress test 3 years ago was normal. The ER physician calls the hospitalist to admit for further evaluation of possible ischemic chest pain. A coronary CTA is ordered and is interpreted as “severe stenosis of right coronary artery and moderately severe stenosis of left anterior descending and circumflex arteries”. Cardiology is called to assess at 5PM, Friday. What is the next step? …

Bhuiya F, Pitts S, McCaig, LF. Emergency Department Visits for Chest Pains. NCHS Data Brief; 43: September 2010.

Amsterdam EA, Kirk JD, Bluemke DA, et al. Testing of low-risk patients presenting to the emergency department with chest pain. Circulation. 2010;122:1756–76.CrossRefPubMedPubMedCentral

Delaney MC, Neth M, Thomas JJ. Chest pain triage: Current trends in the emergency departments in the United States. J Nucl Cardiol. doi:10.1007/s12350-016-0578-0.

Amsterdam E, Wenger N, Brindis R, et al. Guideline for the management of patients with non-ST-elevation acute coronary syndromes. J Am Coll Cardiol. 2014;64:e139–228.CrossRefPubMed

O’Gara PT, Kushner FG, Ascheim DDR, et al. Guideline for the management of ST-elevation myocardial infarction. J Am Coll Cardiol. 2013;61:e78–140.CrossRefPubMed

Wolk MJ, Bailey SR, Doherty JU, et al. Multimodality appropriate use criteria for the detection and risk assessment of stable ischemic heart disease. J Am Coll Cardiol. 2014;63:380–406.CrossRefPubMed

Rybicki FJ, Udelson JE, Peacock WF, et al. Appropriate utilization of cardiovascular imaging in emergency department patients with chest pain. JACC. 2016;67:853–79.CrossRefPubMed

Backus BE, Six AJ, Kelder JC, et al. A prospective validation of the HEART score for chest pain in patients at the emergency department. Int J Cardiol. 2013;168:2153–8.CrossRefPubMed

Hoffmann U, Truong Q, Schoenfeld DA, et al. Coronary CT angiography versus standard evaluation in acute chest pain. N Engl J Med. 2012;367:299–308.CrossRefPubMedPubMedCentral

10.

Douglas PS, Hoffman U, Patel MR, et al. Outcomes of anatomical versus functional testing for coronary artery disease. N Engl J Med. 2015;372:1291–300.CrossRefPubMedPubMedCentral

11.

Mark DB, Federspeil JJ, Cowper PA, et al. Economic outcomes with anatomical versus functional diagnostic testing for coronary artery disease. Ann Intern Med. 2016;. doi:10.7326/M15-2639.PubMedCentral

12.

Nabi F, Chang SM, Xu J, et al. Assessing risk in acute chest pain: The value of stress myocardial perfusion imaging in patients admitted through the emergency department. J Nucl Cardiol. 2012;19:233–43.CrossRefPubMed

13.

Duvall WL, Wijetunga MN, Klein TM, et al. Stress-only Tc-99m myocardial perfusion imaging in an emergency department chest pain unit. J Emerg Med. 2012;42(6):642–50.CrossRefPubMed

14.

Lim SH, Anatharaman V, Sundram F. Stress myocardial perfusion imaging for the evaluation and triage of chest pain in the emergency department: A randomized controlled trial. J Nucl Cardiol. 2013;20:1002–12.CrossRefPubMed

15.

Cremer PC, Kahalaf S, Agarwal S, et al. Myocardial perfusion imaging in emergency department patients with negative cardiac biomarkers. Circ Cardiovasc Imaging. 2014;7:912–9.CrossRefPubMed

16.

Chow BJ, Dorbala S, DiCarli MF, et al. Prognostic value of PET myocardial perfusion imaging in obese patients. JACC Cardiovasc Imaging. 2014;7:278–87.CrossRefPubMed

17.

Kay J, Dorbala S, Goyal A. Influence of sex on risk stratification with stress myocardial Rb-82 postitron emission tomography. J Am Coll Cardiol. 2013;2:1866–76.CrossRef

18.

Herron MA. Changes in the leading cause of death: Recent patterns in heart disease and cancer mortality. NCHS Data Brief; 254: August 2016.

Titel: Imaging for chest pain in the emergency room: Finding the right gate not the right gatekeeper
verfasst von: David G. Wolinsky, MD, FACC, MASNC
Publikationsdatum: 01.12.2017
Verlag: Springer US
Erschienen in: Journal of Nuclear Cardiology / Ausgabe 6/2017
Print ISSN: 1071-3581
Elektronische ISSN: 1532-6551
DOI: https://doi.org/10.1007/s12350-016-0668-z

Neu im Fachgebiet Kardiologie

25.04.2024 | Hypotonie | Nachrichten

Update Kardiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Imaging for chest pain in the emergency room: Finding the right gate not the right gatekeeper

Excerpt

Neu im Fachgebiet Kardiologie

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

Adipositas-Medikament auch gegen Schlafapnoe wirksam

Komplette Revaskularisation bei Infarkt: Neue Studie setzt ein Fragezeichen

Update Kardiologie

Springer Medizin

Excerpt

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 6/2017

Optimizing quantitative myocardial perfusion by positron emission tomography for guiding CAD management

Responsible growth of nuclear cardiology in Spain

Cardiovascular disease in the literature: A selection of recent original research papers

And in the end…

Sympathetic nervous system, systolic heart failure, and central sleep apnea: Are we about to find the missing link?

Quantifying predictive accuracy in survival models

Neu im Fachgebiet Kardiologie

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

Adipositas-Medikament auch gegen Schlafapnoe wirksam

Komplette Revaskularisation bei Infarkt: Neue Studie setzt ein Fragezeichen

Update Kardiologie