Adequacy of an exercise test in excluding angina on patients presenting to the emergency department with chest pain

Annals of Noninvasive Electrocardiology

Volumn 4, Issue 4, 1999, Pages 408-415

  Senaratne, Manohara P J ^a,b   Carter, Debbie ^a   Irwin, Marleen ^a  

^a GREY NUNS COMMUNITY HOSPITAL   (Canada)

^b UNIVERSITY OF ALBERTA   (Canada)

Author keywords

Chest pain; Emergency department; Exercise test

Indexed keywords

ADULT; AGED; ANGINA PECTORIS; ARTICLE; COST BENEFIT ANALYSIS; COST EFFECTIVENESS ANALYSIS; DIAGNOSTIC VALUE; EMERGENCY WARD; EXERCISE TEST; FEMALE; FOLLOW UP; HEART SCINTISCANNING; HUMAN; MAJOR CLINICAL STUDY; MALE; PRIORITY JOURNAL; THORAX PAIN;

EID: 0033405202     PISSN: 1082720X     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1542-474X.1999.tb00231.x     Document Type: Article

References (19)

1. 1. Jesse RL, Kontos MC. Evaluation of chest pain in the emergency department. Curr Prob Cardiol 1997;22:151-236.
2. 2. Karlson BW, Herlitz J, Wiklund O, et al. Early prediction of acute myocardial infarction from clinical history, examination and electrocardiogram in the emergency room. Am J Cardiol 1991;68:171-175.
3. 3. Stark ME, Vacek JL. The initial electrocardiogram during admission for myocardial infarction. Arch Intern Med 1987; 147:843-846.
4. 4. Roberts R, Kleiman NS. Earlier diagnosis and treatment of acute myocardial infarction necessitates the need for a "new diagnostic mind-set." Circulation 1994;89:872-881.
5. 5. Kontos MC, Jesse RL, Schnmidt KL, et al. Value of acute rest sestamibi perfusion imaging for evaluation of patients admitted to the emergency department with chest pain. J Am Coll Cardiol 1997;30:976-982.
6. 6. Trippi JA, Kopp G, Kamthorn SL, et al. The feasibility of dobutamine stress echocardiography in the emergency department with telemedicine interpretation. J Am Soc Echocardiogr 1996;9:113-118.
7. 7. Selker HP, Zalenski RJ, Antman EM, et al. An evaluation of technologies for identifying acute cardiac ischemia in the emergency department: Executive summary of a National Heart Attack Alert Program Working Group report. Ann Emerg Med 1997;29:1-12.
8. 8. Mason RE, Likar I. A new system of multiple-lead exercise electrocardiography. Am Heart J 1966;71:196-205.
9. 9. Norusis MJ. Data Files. In SPSS for Windows: Base System User's Guide. Release 6.0. Chicago, SPSS Inc. 1993, pp.27-54.
10. 10. Senaratne MPJ, Irwin ME, Shaben S, et al. Feasibility of direct discharge from the coronary/intermediate care unit after acute myocardial infarction. J Am Coll Cardiol 1999 (in press).
11. 11. Varetto T, Cantalupi D, Altieri A, et al. Emergency room technetium-99m sestamibi imaging to rule out acute myocardial ischemic events in patients with nondiagnostic electrocardiograms. J Am Coll Cardiol 1993;22:1804-1808.
12. 12. Weissman IA, Dickinson CZ, Dworkin HJ, et al. Cost-effectiveness of myocardial perfusion imaging with Spect in the emergency department evaluation of patients with unexplained chest pain. Radiology 1996;199:353-357.
13. 13. Radensky PW, Hilton TC, Fulmer H, et al. Potential cost effectiveness of initial myocardial perfusion imaging for assessment of emergency department patients with chest pain. Am J Cardiol 1997;79:595-599.
14. 14. Beller EA. Acute radionuclide perfusion imaging for evaluation of chest pain in the emergency department: Need for a large clinical trial. J. Nuclear Cardiol 1996;3:546-549.
15. 15. Polanczyuk CA, Johnson PA, Hartley LH, et al. Clinical correlates and prognostic significance of early negative exercise tolerance test in patients with acute chest pain seen in the hospital emergency department. Am J Cardiol 1998; 81:288-292.
16. 16. Kirk JD, Turnipseed S, Lewis WR, et al. Evaluation of chest pain in low risk patients presenting to the emergency department: The role of immediate exercise testing. Ann Emerg Med 1998;32:1-7.
17. 17. Van De Werf F. Cardiac troponin in acute coronary syndromes. N Engl J Med 1996;335:1388-1389.
18. 18. Hamm CW, Goldmann BU, Heeschen C, et al. Emergency room triage of patients with acute chest pain by means of rapid resting for cardiac troponin T or troponin I. N Engl J Med 1997;337:1648-1653.
19. 19. Senaratne MPJ, Carter D, Ranasinghe A, et al. Adequacy of an exercise test in excluding angina in patients presenting to the emergency room with chest pain (abstract). Circulation 1998;17(Suppl I):774-775.