Imaging Strategies for Acute Chest Pain in the Emergency Department
| Autor: | Koen Nieman, Admir Dedic, M. G. Myriam Hunink, Tessa S. S. Genders |
|---|---|
| Přispěvatelé: | Radiology & Nuclear Medicine |
| Rok vydání: | 2013 |
| Předmět: |
Acute coronary syndrome
medicine.medical_specialty Chest Pain MEDLINE Coronary Angiography Sensitivity and Specificity Myocardial perfusion imaging Acute chest pain Medicine Humans Radiology Nuclear Medicine and imaging Acute Coronary Syndrome Modalities medicine.diagnostic_test business.industry Myocardial Perfusion Imaging Coronary ct angiography General Medicine Emergency department medicine.disease Echocardiography Radiology business Emergency Service Hospital Tomography X-Ray Computed Medical literature |
| Zdroj: | American Journal of Roentgenology, 200(1), W26-W38. American Roentgen Ray Society |
| ISSN: | 0361-803X |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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