Accuracy of a neural diagnostic tree for the identification of acute coronary syndrome in patients with chest pain and no ST-segment elevation

Critical Pathways in Cardiology

Volumn 3, Issue 2, 2004, Pages 72-78

  Bassan, Roberto ^a,c   Pimenta, Lucia ^a   Scofano, Marcelo ^a   Soares, José Francisco ^b  

^a Department of Nuclear Medicine   (Brazil)

^b FEDERAL UNIVERSITY OF MINAS GERAIS   (Brazil)

^c HOSPITAL PRÓ CARDÍACO   (Brazil)

Author keywords

Acute coronary syndrome; Acute myocardial infarction; Diagnosis; Predictions

Indexed keywords

CREATINE KINASE MB;

ACUTE DISEASE; ACUTE HEART INFARCTION; ADULT; AGED; ALGORITHM; ANGINA PECTORIS; ARTICLE; CARDIOVASCULAR DISEASE; CIGARETTE SMOKING; CLINICAL PATHWAY; CONTROLLED STUDY; CORONARY ARTERY DISEASE; CORONARY RISK; DIABETES MELLITUS; DIAGNOSTIC ACCURACY; DYSLIPIDEMIA; ELECTROCARDIOGRAM; FEMALE; HUMAN; HYPERTENSION; LABORATORY TEST; MAJOR CLINICAL STUDY; MALE; PRACTICE GUIDELINE; PREVALENCE; PRIORITY JOURNAL; RECEIVER OPERATING CHARACTERISTIC; RISK FACTOR; ST SEGMENT DEPRESSION;

EID: 2942594445     PISSN: 1535282X     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.hpc.0000128713.08115.54     Document Type: Article

References (21)

1. Rusnak RA, Stair TO, Hansen K, et al. Litigation against the emergency physician: common features in cases of missed myocardial infarction. Ann Emerg Med. 1989;18:1029-1034.
2. 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.
3. Ting HH, Lee TH, Soukup JR, et al. Impact of physician experience on triage of emergency room patients with acute chest pain at three teaching hospitals. Am J Med. 1991;91:401-408.
4. McCarthy BD, Beshansky JR, D'Agostino RB, et al. Missed diagnosis of acute myocardial infarction in the emergency department: results from a multicenter study. Ann Emerg Med. 1993;22:579-582.
5. Lee TH, Juarez G, Cook EF, et al. Ruling out acute myocardial infarction: a prospective multicenter validation of a 12-hour strategy for patients at low risk. N Engl J Med. 1991;324:1239-1246.
6. Gaspoz JM, Lee TH, Cook EF, et al. Outcome of patients who were admitted to a new short-stay unit to "rule out" myocardial infarction. Am J Cardiol. 1991;68:145-149.
7. Gibler WB, Runyon JP, Levy RC, et al. A rapid diagnostic and treatment center for patients with chest pain in the ED. Ann Emerg Med. 1995; 25:1-8.
8. Bahr RD. Acute outpatient care and comprehensive management of acute myocardial ischemia in chest pain emergency departments. Md Med J. 1995;44:691-693.
9. Sgarbossa EB, Pinski SL, Barbagelata A, et al, for the GUSTO-1 investigators. Electrocardiographic diagnosis of evolving AMI in the presence of left bundle-branch block. N Engl J Med. 1996;334:481-487.
10. Jaeschke R, Guyatt GH, Sackett DL. Users guide to the medical literature, III: how to use an article about diagnostic test, B: what are the results and will they help me in caring for my patient? JAMA. 1994; 271:703-707.
11. Hanley JA, McNeil BJ. A method for comparing the areas under receiver operating-characteristic for curves derived from the same cases. Radiology. 1983;148:839-843.
12. Lee TH, Goldman L. Evaluation of the patient with acute chest pain. N Engl J Med. 2000;342:1187-1195.
13. Pozen MW, D'Agostino RB, Selker HP, et al. A predictive instrument to improve coronary care unit admission practices in acute ischemic heart disease. N Engl J Med. 1984;310:1273-1278.
14. Goldman L, Cook EF, Brand DA, et al. A computer protocol to predict myocardial infarction in ED patients with chest pain. N Engl J Med. 1988;318:797-803.
15. Tatum JL, Jesse RL, Kontos MC, et al. Comprehensive strategy for the evaluation and triage of the chest pain patient. Ann Emerg Med. 1997; 29:116-125.
16. Nichol G, Walls R, Goldman L, et al. A critical pathway for management of patients with acute chest pain who are at low risk for myocardial ischemia: recommendations and potential impact. Ann Intern Med. 1997;127:996-1005.
17. Farkouh ME, Smars PA, Reeder GS, et al. A clinical trial of a chest pain observation unit for patients with unstable angina. N Engl J Med. 1998;339:1882-1888.
18. Zalenski RJ, McCarren M, Roberts R, et al. An evaluation of a chest pain diagnostic protocol to exclude acute cardiac ischemia in the emergency department. Arch Intern Med. 1997;157:1085-1091.
19. Quamar A, McPherson C, Babb J. The Goldman algorithm revisited: a prospective evaluation of a computer-derived algorithm versus unaided physicians judgement in suspected acute myocardial infarction. Am Heart J. 1999;138:705-709.
20. 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;29:610-627 [erratum, Med Care. 1992;30:188].
21. 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;29:610-627 [erratum, Med Care. 1992;30:188].