Value of acute rest sestamibi perfusion imaging for evaluation of patients admitted to the emergency department with chest pain

Journal of the American College of Cardiology

Volumn 30, Issue 4, 1997, Pages 976-982

  Kontos, Michael C ^a   Jesse, Robert L ^a   Schmidt, Kristin L ^a   Ornato, Joseph P ^a   Tatum, James L ^a  

^a VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

METHOXY ISOBUTYL ISONITRILE TECHNETIUM TC 99M;

ADULT; AGED; ANGINA PECTORIS; ARTICLE; CORONARY ARTERY BYPASS GRAFT; EMERGENCY WARD; FEMALE; HEART MUSCLE ISCHEMIA; HEART MUSCLE PERFUSION; HEART MUSCLE REVASCULARIZATION; HUMAN; MAJOR CLINICAL STUDY; MALE; PRIORITY JOURNAL; REST; SINGLE PHOTON EMISSION COMPUTER TOMOGRAPHY; THORAX PAIN; TRANSLUMINAL CORONARY ANGIOPLASTY;

AGED; CASE-CONTROL STUDIES; CHEST PAIN; ELECTROCARDIOGRAPHY; EMERGENCY SERVICE, HOSPITAL; FEMALE; HUMANS; MALE; MIDDLE AGED; MULTIVARIATE ANALYSIS; MYOCARDIAL ISCHEMIA; RADIOPHARMACEUTICALS; REPRODUCIBILITY OF RESULTS; RISK FACTORS; SENSITIVITY AND SPECIFICITY; TECHNETIUM TC 99M SESTAMIBI;

EID: 0030819470     PISSN: 07351097     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0735-1097(97)00264-7     Document Type: Article

References (43)

1. Pozen MW, D'Agostino RB, Selker HP, Sytkowski PA, Hood WB Jr. A predictive instrument to improve coronary-care-unit admission practices in acute ischemic heart disease: a prospective multicenter clinical trial. N Engl J Med 1984;310:1273-8.
2. Lee TH, Cook EF, Weisberg M, Sargent RK, Wilson C, Goldman L. Acute chest pain in the emergency room: identification and examination of low-risk patients. Arch Intern Med 1985;145:65-9.
3. Aase O, Jonsbu J, Liestol K, Rollag A, Erikssen J. Decision support by computer analysis of selected case history variables in the emergency room among patients with acute chest pain. Eur Heart J 1993;14:433-40.
4. Rouan GW, Hedges JR, Toltzis R, Goldstein-Wayne B, Brand D, Goldman L. A chest pain clinic to improve the follow-up of patients released from an urban university teaching hospital emergency department. Ann Emerg Med 1987;16:1145-50.
5. Lee TH, Rouan GW, Weisberg MC, et al. Clinical characteristics and natural history of patients with acute myocardial infarction sent home from the emergency room. Am J Cardiol 1987;60:219-24.
6. McCarthy BD, Beshansky JR, D'Agostino RB, Selker HP. Missed diagnoses of acute myocardial infarction in the emergency department: results from a multicenter study. Ann Emerg Med 1993;22:579-82.
7. Okada RD, Glover D, Gaffney T, Williams S. Myocardial kinetics of technetium-99;m-hexakis-2-methoxy-2-methylpropyl-isonitrile. Circulation 1988;77:491-8.
8. Bilodeau L, Theroux P, Gregoire J, Gagnon D, Arsenault A. Technetium-99m sestamibi tomography in patients with spontaneous chest pain: correlations with clinical, electrocardiographic and angiographic findings. J Am Coll Cardiol 1991;18:1684-91.
9. Hilton TC, Thompson RC, Williams HJ, Saylors R, Fulmer H, Stowers SA. Technetium-99m sestamibi myocardial perfusion imaging in the emergency room evaluation of chest pain. J Am Coll Cardiol 1994;23:1016-22.
10. Varetto T, Cantalupi D, Altieri A, Orlandi C. Emergency room technetium-99m sestamibi imaging to rule out acute myocardial ischemic events in patients with nondiagnostic electrocardiograms. J Am Coll Cardiol 1993;22: 1804-8.
11. Tatum JL, Jesse RL, Kontos MC, et al. Comprehensive strategy for the evaluation and triage of the chest pain patient. Ann Emerg Med 1997;29: 116-23.
12. Gushee DE, Holroyd BR. Chest pain. In: Callaham ML, editor. Current Practice of Emergency Medicine. 2nd ed. Philadelphia: B. C. Decker; 1991:438-43.
13. Goldman L, Weinberg M, Weisberg M, et al. A computer-derived protocol to aid in the diagnosis of emergency room patients with acute chest pain. N Engl J Med 1982;307:588-96.
14. Goldman L, Cook EF, Brand DA, et al. A computer protocol to predict myocardial infarction in emergency department patients with chest pain. N Engl J Med 1988;318:797-803.
15. Tierney WM, Roth BJ, Psaty B, et al. Predictors of myocardial infarction in emergency room patients. Crit Care Med 1985;13:526-31.
16. Pozen MW, D'Agostino RB, Mitchell JB, et al. The usefulness of a predictive instrument to reduce inappropriate admissions to the coronary care unit. Ann Intern Med 1980;92:238-42.
17. Fineberg HV, Scadden D, Goldman L. Care of patients with a low probability of acute myocardial infarction: cost effectiveness of alternatives to coronary-care-unit admission. N Engl J Med 1984;310:1301-7.
18. Slater DK, Hlatky MA, Mark DB, Harrell FE Jr, Pryor DB, Califf RM. Outcome in suspected acute myocardial infarction with normal or minimally abnormal admission electrocardiographic findings. Am J Cardiol 1987;60: 766-70.
19. Brush JE Jr, Brand DA, Acampora D, Chalmer B, Wackers FJ. Use of the initial electrocardiogram to predict in-hospital complications of acute myocardial infarction. N Engl J Med 1985;312:1137-41.
20. Selker HP, Griffith JL, D'Agostino RB. A time-insensitive predictive instrument for acute hospital mortality due to congestive heart failure: development, testing, and use for comparing hospitals: a multicenter study. Med Care 1994;32:1040-52.
21. Jayes RL Jr, Beshansky JR, D'Agostino RB, Selker HP. Do patients' coronary risk factor reports predict acute cardiac ischemia in the emergency department? A multicenter study. J Clin Epidemiol 1992;45:621-6.
22. Zalenski RJ, Rydman RJ, McCareen M, et al. Feasibility of a rapid diagnostic protocol for an emergency department chest pain unit. Ann Emerg Med 1997;29:99-108.
23. Braunwald E, Mark DB, Jones RH, et al. Unstable Angina: Diagnosis and Management. Clinical Practice Guideline Number 10 (amended) AHCPR Publication No. 94-0602. Rockville (MD): Agency for Health Care Policy and Research and the National Heart, Lung, and Blood Institute, Public Health Service, U.S. Department of Health and Human Services; May 1994.
24. Selker HP, Griffith JL, D'Agostino RB. A tool for judging coronary care unit admission appropriateness, valid for both real-time and retrospective use. A time-insensitive predictive instrument (TIPI) for acute cardiac ischemia: a multicenter study. Med Care 1991;29:610-27.
25. van Miltenburg-van Zijl AJ, Simoons ML, Veerhoek RJ, Bossuyt PM. Incidence and follow-up of Braunwald subgroups in unstable angina pectoris. J Am Coll Cardiol 1995;25:1286-92.
26. Theroux P, Ouimet H, McCans J, et al. Aspirin, heparin, or both to treat acute unstable angina. N Engl J Med 1988;319:1105-11.
27. Gaspoz JM, Lee TH, Cook EF, Weisberg MC, Goldman L. Outcome of patients who were admitted to a new short-stay unit to "rule-out" myocardial infarction. Am J Cardiol 1991;68:145-9.
28. Mikhail MG, Smith FA, Gray M, Britton C, Frederiksen SM. Cost-effectiveness of mandatory stress testing in chest pain center patients. Ann Emerg Med 1997;29:88-98.
29. Weissman IA, Dickinson CZ, Dworkin HJ, O'Neill WW, Juni JE. Cost-effectiveness of myocardial perfusion imaging with SPECT in the emergency department evaluation of patients with unexplained chest pain. Radiology 1996;199:353-7.
30. Radensky PW, Hilton TC, Fulmer H, McLaughlin BA, Stowers SA. Potential cost effectiveness of initial myocardial perfusion imaging for assessment of emergency department patients with chest pain. Am J Cardiol 1997;79: 595-9.
31. Hanley JA, Lippman Hand A. If nothing goes wrong, is everything all right? Interpreting zero numerators. JAMA 1983;249:1743-5.
32. Tamaki S, Kambara H, Kadota K, et al. Improved detection of myocardial infarction by emission computed tomography with thallium-201: relation to infarct size. Br Heart J 1984;52:621-7.
33. Verani MS, Jeroudi MO, Mahmarian JJ, et al. Quantification of myocardial infarction during coronary occlusion and myocardial salvage after reperfusion using cardiac imaging with technetium-99m hexakis 2-methoxyisobutyl isonitrile. J Am Coll Cardiol 1988;12:1573-81.
34. Pandian NG, Skorton DJ, Collins SM, et al. Myocardial infarct size threshold for two-dimensional echocardiographic detection: sensitivity of systolic wall thickening and endocardial motion abnormalities in small versus large infarcts. Am J Cardiol 1985;55:551-5.
35. Wahl JM, Hakki AH, Iskandrian AS, Yacone L. Scintigraphic characterization of Q wave and non-Q-wave acute myocardial infarction. Am Heart J 1985;109:769-75.
36. Boucher CA. Detection and location of myocardial infarction using technetium-99m sestamibi imaging at rest. Am J Cardiol 1990;66:32-5E.
37. van der Wieken LR, Kan G, Belfer AJ, et al. Thallium-201 scanning to decide CCU admission in patients with non-diagnostic electrocardiograms. Int J Cardiol 1983;4:285-99.
38. Wackers FJ, Lie KI, Liem KL, et al. Potential value of thallium-201 scintigraphy as a means of selecting patients for the coronary care unit. Br Heart J 1979;41:111-7.
39. Kjoller E, Nielsen SL, Carlsen J, et al. Impact of immediate and delayed myocardial scintigraphy on therapeutic decisions in suspected acute myocardial infarction. Eur Heart J 1995;16:909-13.
40. Mannting F, Morgan-Mannting MG. Gated SPECT with technetium-99m-sestamibi for assessment of myocardial perfusion abnormalities. J Nucl Med 1993;34:601-8.
41. DePuey EG, Rozanski A. Using gated technetium-99m-sestamibi SPECT to characterize fixed myocardial defects as infarct or artifact. J Nucl Med 1995;36:952-5.
42. Ohman EM, Armstrong PW, Christenson RH, et al., (GUSTO IIA Investigators). Cardiac troponin T levels for risk stratification in acute myocardial ischemia. N Engl J Med 1996;335:1333-41.
43. Anderson HV, Cannon CP, Stone PH, et al. One-year results of the Thrombolysis in Myocardial Infarction (TIMI) IIIB clinical trial: a randomized comparison of tissue-type plasminogen activator versus placebo and early invasive versus early conservative strategies in unstable angina and non-Q wave myocardial infarction. J Am Coll Cardiol 1995;26:1643-50.