Missed acute cardiac ischemia in the ED: Limitations of diagnostic testing

American Journal of Emergency Medicine

Volumn 22, Issue 3, 2004, Pages 219-225

  Duseja, Reena ^a   Feldman, James A ^a,b  

^a BOSTON UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b BOSTON MEDICAL CENTER   (United States)

Author keywords

Acute coronary syndrome; Acute myocardial infarction; Medical errors

Indexed keywords

ACETYLSALICYLIC ACID; ENOXAPARIN; HISTAMINE H2 RECEPTOR ANTAGONIST; LOW MOLECULAR WEIGHT HEPARIN;

ACUTE HEART INFARCTION; ADULT; AGED; ANGIOCARDIOGRAPHY; ARTICLE; CASE REPORT; CORONARY ARTERY DISEASE; DIAGNOSTIC TEST; EMERGENCY WARD; EXERCISE ELECTROCARDIOGRAPHY; FEMALE; HEART MUSCLE ISCHEMIA; HUMAN; MALE; MEDICAL ERROR; MEDICAL LITERATURE; PERCUTANEOUS CORONARY INTERVENTION; PRIORITY JOURNAL; SYMPTOMATOLOGY; TECHNOLOGY; UNSTABLE ANGINA PECTORIS;

EID: 2442650453     PISSN: 07356757     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ajem.2004.02.018     Document Type: Article

References (46)

1. Van Der Does E, Lubsen J, Pool J, et al: Acute coronary events in general practice: objectives and design of the Imminent Myocardial Infarction Rotterdam Study. Heart Bull 1976;7:91-98
2. Kinlen L: Incidence and presentation of myocardial infarction in an English community. Br Heart J 1973;35:681-686
3. Urestsky B, Farquahar DS, Berezin AF, Hood WB Jr: Symptomatic myocardial infarction without chest pain: prevalence and clinical course. Am J Cardiol 1977;40:498-503
4. Pope JH, Ruthazer R, Beshansky JR, Griffith JL, Selker HP: The clinical presentation of patients with acute cardiac ischemia in the emergency department: a multicenter controlled clinical trial. J Thromb Thrombolysis 1998;6:63-74
5. Georgeson S, Linzer M, Griffith JL, Weld L, Selker HP: Acute cardiac ischemia in patients with syncope: importance of the initial electrocardiogram. J Gen Intern Med 1992;7:379-386
6. Canto JG, Shlipak MG, Rogers WJ, et al: Prevalence, clinical characteristics, and mortality among patients with myocardial infarction presenting without chest pain. JAMA 2000;283:3223-3229
7. 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;60:219-224
8. 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;22:579-582
9. Pope JH, Aufderheide TP, Ruthazer R, et al: Missed diagnoses of acute cardiac ischemia in the emergency department. N Engl J Med 2000;342:1163-1170
10. Rusnak RA, Stair TO, Hansen K, Fastow JS: Litigation against the emergency physician: common features in cases of missed myocardial infarction. Ann Emerg Med 1989;18:1029-1034
11. Sarasin FP, Reymond JM, Griffith JL, et al: Impact of the Acute Cardiac Ischemia Time-Insensitive Predictive Instrument (ACI-TIPI) on the speed of triage decision making for emergency department patients presenting with chest pain: a controlled clinical trial. J Gen Intern Med 1994;9:187-194
12. Selker HP, Griffith JL, D'Agostino RB: A time-insensitive predictive instrument for acute myocardial infarction mortality: a multicenter study. Med Care 1991;29:1196-1211
13. Karcz A, Holbrook J, Auerbach BS, et al: Preventability of malpractice claims in emergency medicine: a closed claims study. Ann Emerg Med 1990;19:865-873
14. Karcz A, Korn R, Burke MC, et al: Malpractice claims against emergency physicians in Massachusetts: 1975-1993. Am J Emerg Med 1996;14:341-345
15. Selker HP, Zalenski RJ, Antman EM, et al: An evaluation of technologies for identifying acute cardiac ischemia in the emergency department: a report from a National Heart Attack Alert Program Working Group [published erratum appears in Ann Emerg Med 1997;29:310]. Ann Emerg Med 1997;29:13-87
16. Selker HP, Zalenski RJ, Antman EM, et al: An evaluation of technologies for identifying acute cardiac ischemia in the emergency department: a report from a National Heart Attack Alert Program Working Group [published erratum appears in Ann Emerg Med 1997;29:310]. Ann Emerg Med 1997;29:13-87
17. Ornato JP, Selker HP, Zalenski RJ: Overview: diagnosing acute cardiac ischemia in the emergency department. A report from the National Heart Attack Alert Program. Ann Emerg Med 2001;37:450-453
18. Lau J, Ioannidis JP, Balk EM, et al: Diagnosing acute cardiac ischemia in the emergency department: a systematic review of the accuracy and clinical effect of current technologies. Ann Emerg Med 2001;37:453-461
19. Sackett DL HB, Guyatt GH, Tugwell P: Clinical Epidemiology: A Basic Science for Clinical Medicine. Toronto, Little, Brown and Co, 1985
20. Braunwald E, Jones RH, Mark DB, et al: Diagnosing and managing unstable angina. Agency for Health Care Policy and Research. Circulation 1994;90:613-622
21. Selker HP, Beshansky JR, Griffith JL, et al: Use of the Acute Cardiac Ischemia Time-Insensitive Predictive Instrument (ACI-TIPI) to assist with triage of patients with chest pain or other symptoms suggestive of acute cardiac ischemia. A multicenter, controlled clinical trial. Ann Intern Med 1998;129:845-855
22. Udelson JE, Beshansky JR, Ballin DS, et al: Myocardial perfusion imaging for evaluation and triage of patients with suspected acute cardiac ischemia: a randomized controlled trial. JAMA 2002;288:2693-2700
23. Balk EM, Ioannidis JP, Salem DN, Chew PW, Lau J: Accuracy of biomarkers to diagnose acute cardiac ischemia in the emergency department: a systematic review. Ann Emerg Med 2001;37:453-461
24. Limkakeng A Jr, Gibler WB, Pollack C, et al: Combination of Goldman risk and initial cardiac troponin I for emergency department chest pain patient risk stratification. Acad Emerg Med 2001;8:696-702
25. ACC/AHA 2002 Guideline Update for the Management of Patients With Unstable Angina and Non-ST-Segment Elevation Myocardial Infarction, vol 2002: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on the Management of Patients With Unstable Angina), 2002
26. Polanczyk CA, Lee TH, Cook EF, et al: Cardiac troponin I as a predictor of major cardiac events in emergency department patients with acute chest pain. J Am Coll Cardiol 1998;32:8-14
27. Hamm CW, Goldmann BU, Heeschen C, Kreymann G, Berger J, Meinertz T: Emergency room triage of patients with acute chest pain by means of rapid testing for cardiac troponin T or troponin I. N Engl J Med 1997;337:1648-1653
28. Hlatky MA: Evaluation of chest pain in the emergency department [Editorial; Comment]. N Engl J Med 1997;337:1687-1689
29. Kontos MC, Jesse RL, Anderson FP, Schmidt KL, Ornato JP, Tatum JL: Comparison of myocardial perfusion imaging and cardiac troponin I in patients admitted to the emergency department with chest pain. Circulation 1999;99:2073-2078
30. Newby LK, Christenson RH, Ohman EM, et al: Value of serial troponin T measures for early and late risk stratification in patients with acute coronary syndromes. The GUSTO-Ila Investigators. Circulation 1998;98:1853-1859
31. Zimmerman J, Fromm R, Meyer D, et al: Diagnostic marker cooperative study for the diagnosis of myocardial infarction. Circulation 1999;99:1671-1677
32. Olatidoye AG, Wu AH, Feng YJ, Waters D: Prognostic role of troponin T versus troponin I in unstable angina pectoris for cardiac events with meta-analysis comparing published studies. Am J Cardiol 1998;81:1405-1410
33. Ebell MH, Flewelling D, Flynn CA: A systematic review of troponin T and I for diagnosing acute myocardial infarction. J Fam Pract 2000;49:550-556
34. Hill J, Timmis A: Exercise tolerance testing. BMJ 2002;324:1084-1087
35. Shaw LJ, Peterson ED, Shaw LK, et al: Use of a prognostic treadmill score in identifying diagnostic coronary disease subgroups. Circulation 1998;98:1622-1630
36. Mark DB: Risk stratification in patients with chest pain. Prim Care 2001;28:99-118 vii
37. Pryor DB, Shaw L, Harrell FE Jr, et al: Estimating the likelihood of severe coronary artery disease. Am J Med 1991;90:553-562
38. Mark DB, Shaw L, Harrell FE Jr, et al: Prognostic value of a treadmill exercise score in outpatients with suspected coronary artery disease. N Engl J Med 1991;325:849-853
39. Mark DB, Hlatky MA, Harrell FE Jr, Lee KL, Califf RM, Pryor DB: Exercise treadmill score for predicting prognosis in coronary artery disease. Ann Intern Med 1987;106:793-800
40. Weiner D, Ryan T, McCabe C, et al: Exercise stress testing. Correlations among history of angina, ST-segment response and prevalence of coronary-artery disease in the Coronary Artery Aurgery Study (CASS). N Engl J Med 1979;301:230-235
41. Braunwald E: Unstable angina. A classification. Circulation 1989;80:410-414
42. Braunwald E, Antman EM, Beasley JW, et al: ACC/AHA guideline update for the management of patients with unstable angina and non-ST-segment elevation myocardial infarction - 2002: summary article: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on the Management of Patients With Unstable Angina). Circulation 2002;106:1893-1900
43. Mansourati J, Da Costa A, Munier S, et al: Prevalence of factor V Leiden in patients with myocardial infarction and normal coronary angiography. Thromb Haemost 2000;83:822-825
44. Gehani AA, al-Mulla AW, Chaikhouni A, et al: Myocardial infarction with normal coronary angiography compared with severe coronary artery disease without myocardial infarction: the crucial role of smoking. J Cardiovasc Risk 2001;8:1-8
45. Zir LM, Miller SW, Dinsmore RE, Gilbert JP, Harthorne JW: Interobserver variability in coronary angiography. Circulation 1976;53:627-632
46. Udelson JE, Beshansky JR, Ballin DS, et al: Myocardial perfusion imaging for evaluation and triage of patients with suspected acute cardiac ischemia: a randomized, controlled trial. JAMA 2002;288:2693-2700