Implementation of myocardial perfusion imaging in the early triage of patients with suspected acute coronary syndromes

Nuclear Medicine Communications

Volumn 24, Issue 10, 2003, Pages 1055-1060

  Conti, A ^a   Zanobetti, M ^a   Grifoni, S ^a   Berni, G ^a   Costanzo, E ^a   Gallini, C ^a   Ferri, P ^a   Pieroni, C ^a  

^a CAREGGI UNIVERSITY HOSPITAL   (Italy)

Author keywords

Acute coronary syndromes; Chest pain; Chest pain unit; Coronary artery disease diagnosis; Emergency care; Myocardial scintigraphy

Indexed keywords

ACUTE DISEASE; ARTICLE; CLINICAL TRIAL; CORONARY ARTERY ATHEROSCLEROSIS; DECISION SUPPORT SYSTEM; EMERGENCY HEALTH SERVICE; EXERCISE TEST; FEMALE; HUMAN; MALE; METHODOLOGY; MIDDLE AGED; PATIENT CARE; REPRODUCIBILITY; RISK ASSESSMENT; RISK FACTOR; SCINTISCANNING; SENSITIVITY AND SPECIFICITY; SINGLE PHOTON EMISSION COMPUTER TOMOGRAPHY; SYNDROME; THORAX PAIN;

ACUTE DISEASE; CHEST PAIN; CORONARY ARTERIOSCLEROSIS; DECISION SUPPORT TECHNIQUES; EXERCISE TEST; FEMALE; HUMANS; MALE; MIDDLE AGED; PATIENT CARE MANAGEMENT; REPRODUCIBILITY OF RESULTS; RISK ASSESSMENT; RISK FACTORS; SENSITIVITY AND SPECIFICITY; SYNDROME; TOMOGRAPHY, EMISSION-COMPUTED, SINGLE-PHOTON; TRIAGE;

EID: 2842585977     PISSN: 01433636     EISSN: 14735628     Source Type: Journal    
DOI: 10.1097/00006231-200310000-00005     Document Type: Article

References (29)

1. Gibler WB, Blomkalns AL. Diagnosis of acute coronary syndromes in the emergency department. In: Topol EJ, ed. Acute coronary syndromes, second edition. New York: Marcel Dekker, 2001: 293-327.
2. McCarthy BD, Beshansky JR, D’Agostio RB, et al. Missed diagnoses of acute myocardial infarction in the emergency department: results from a multicenter study. Ann Emerg Med 1994; 22: 579-582.
3. 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.
4. Kontos MC, Jesse RJ, Schmidt KL, Ornato JP, Tatum JL. Value of acute rest sestamibi perfusion imaging for evaluation of patients admitted to the emergency department with chest pain. J Am Coll Cardiol 1997; 4: 976-982.
5. Heller GV, Stowers SA, Hendel RC, et al. Clinical value of acute rest technetium-99m tetrofosmin tomographic myocardial perfusion imaging in patients with acute chest pain and nondiagnostic electrocardiograms. J Am Coll Cardiol 1998; 31: 1011-1017.
6. Duncan DB, Heller GV. Acute rest myocardial perfusion imaging in the evaluation of patients with chest pain syndromes. Am Coll Cardiol 1999; 8: 52-56.
7. Hilton TC, Fulmer H, Abuan T, Thompson RC, Stowers SA. Ninety-day follow-up of patients in the emergency department with chest pain who undergo initial single-photon emission computed tomographic perfusion scintigraphy with technetium 99m-labeled sestamibi. J Nucl Cardiol 1996; 3: 308-311.
8. Selker HP, Zalensky RJ, Antaman 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. Ann Emerg Med 1997; 29: 310.
9. Iskander S, Iskandrian AE. Risk assessment using single photon emission computed tomographic technetium-99m sestamibi imaging. J Am Coll Cardiol 1998; 32: 57-62.
10. Abbott BG, Wackers FJTh. Emergency department chest pain units and the role of radionuclide imaging. J Nucl Cardiol 1998; 5: 73-79.
11. Stowers SA. Myocardial perfusion scintigraphy for assessment of acute ischemic syndromes: Can we seize the moment? J Nucl Cardiol 1995; 2: 274-277.
12. Wackers FJ, Brown KA, Heller GV, et al. American Society of Nuclear Cardiology position statement on radionuclide imaging in patients with suspected acute ischemic syndromes in the emergency department or chest pain center. J Nucl Cardiol 2002; 9: 246-250.
13. Kirk JD, Turnipseed S, Lewis WR, Amsterdam EA. 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.
14. Stratman HG, Williams GA, Wittry MD, Chaitman BR, Miller DD. Exercise technetium-99m sestamibi tomography for cardiac risk stratification of patients with stable chest pain. Circulation 1994; 89: 615-622.
15. Polanczyk CA, Johnson PA, Hartley LH, Walls RM, Shaykevich S, Lee TH. 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. Stein RA, Chaitman BR, Balady GJ, et al. Safety and utility of exercise testing in emergency room chest pain centers. An advisory from the committee on exercise, rehabilitation, and prevention, council on clinical cardiology, American Heart Association. Circulation 2000; 102: 1463-1467.
17. 99mTc tracer myocardial SPET in patient with chest pain and non-diagnostic ECG. Eur J Nucl Med 2001; 28: 1806-1810.
18. Swinburn JMA, Subbs P, Soman P, et al. Rapid assessment of patients with non-ST-segment elevation acute chest pain: troponins, inflammatory markers, or perfusion imaging? J Nucl Cardiol 2002; 9: 491-499.
19. Alpert JS, Thygesen K, Antman E, et al. Myocardial infarction redefined. A consensus document of the Joint European Society of Cardiology/American College of Cardiology Committee for the redefinition of myocardial infarction. Eur Heart J 2000; 21: 1502-1513; and J Am Coll Cardiol 2000;: 959-969.
20. Kontos MC. Role of echocardiography in the emergency department for identifying patients with myocardial infarction and ischemia. Echocardiography 1999; 16: 193-205.
21. Duca MD, Satyendra G, Wu AHB, et al. Comparison of acute rest myocardial perfusion imaging and serum markers of myocardial injury in patients with chest pain syndromes. J Nucl Cardiol 1999; 6: 570-576.
22. Kontos M, Jesse RL, Anderson P, et al. Comparison of myocardial perfusion imaging and cardiac troponin I in patients admitted to the emergency department with chest pain. Circulation 1999; 99: 2073-2078.
23. Colon PJ, Mobarek SK, Milani RV, et al. Prognostic value of stress echocardiography in the evaluation of atypical chest pain patients without known coronary artery disease. Am J Cardiol 1998; 81: 545-551.
24. Geleijnse ML, Elhendy A, Kasprzak JD, et al. Safety and prognostic value of early dobutamine-atropine stress echocardiography in patients with spontaneous chest pain and a non-diagnostic electrocardiogram. Eur Heart J 2000; 21: 397-406.
25. Bholasingh R, Cornel JH, Kamp O, et al. Prognostic value of predischarge dobutamine stress echocardiography in chest pain patients with a negative cardiac troponin T. J Am Coll Cardiol 2003; 41: 596-602.
26. Stowers SA, Eisenstein EL, Wackers FJ, et al. An economic analysis of an aggressive diagnostic strategy with single photon emission computed tomography myocardial perfusion imaging and early exercise stress testing in emergency department patients who present with chest pain but nondiagnostic electrocardiograms: results from a randomised trial. Ann Emerg Med 2000; 35: 17-25.
27. 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: 595-599.
28. Udelson JE, Beshansky RN, Ballin DS, et al. Myocardial perfusion imaging for evaluation and triade of patients with suspected acute cardiac ischemia. A randomised controlled trial. JAMA 2002; 288: 2693-2700.
29. Knott JC, Baldey AC, Grigg LE, et al. Impact of acute chest pain Tc-99m sestamibi myocardial perfusion imaging on clinical management. J Nucl Cardiol 2002; 9: 257-262.