A Predictive Instrument Using Contrast Echocardiography in Patients Presenting to the Emergency Department with Chest Pain and without ST-Segment Elevation

Journal of the American Society of Echocardiography

Volumn 23, Issue 6, 2010, Pages 636-642

  Wei, Kevin ^a   Peters, Dawn ^a   Belcik, Todd ^a   Kalvaitis, Saul ^b   Womak, Lisa ^c   Rinkevich, Diana ^a   Tong, Khim Leng ^d   Horton, Kenneth ^e   Kaul, Sanjiv ^a  

^a OREGON HEALTH AND SCIENCE UNIVERSITY   (United States)

^b UNIVERSITY OF UTAH SCHOOL OF MEDICINE   (United States)

^c UNIVERSITY OF VIRGINIA   (United States)

^d NATIONAL UNIVERSITY OF SINGAPORE   (Singapore)

^e INTERMOUNTAIN MEDICAL CENTER   (United States)

Author keywords

Chest pain; Emergency department; Myocardial contrast echocardiography

Indexed keywords

ADULT; ADVERSE OUTCOME; ANGINA PECTORIS; ARTICLE; CLINICAL TRIAL; CONTRAST ECHOCARDIOGRAPHY; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DIABETES MELLITUS; ELECTROCARDIOGRAM; FEMALE; GENDER; HUMAN; MAJOR CLINICAL STUDY; MALE; MYOCARDIAL PERFUSION IMAGING; PREDICTION; RISK ASSESSMENT; SCORING SYSTEM; ST SEGMENT ELEVATION;

AGED; ANGINA PECTORIS; ECHOCARDIOGRAPHY; ELECTROCARDIOGRAPHY; EMERGENCY SERVICE, HOSPITAL; FEMALE; HUMANS; MALE; MIDDLE AGED; MYOCARDIAL ISCHEMIA; PREDICTIVE VALUE OF TESTS; PROSPECTIVE STUDIES; RISK ASSESSMENT;

EID: 77952584309     PISSN: 08947317     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.echo.2010.03.013     Document Type: Article

References (30)

1. Pope J.H., Aufderheide T.P., Ruthazer R., Wolard R.H., Feldman J.A., Beshansky J.R., et al. Missed diagnosis of acute cardiac ischemia in the emergency department. N Engl J Med 342 (2000) 1163-1170
2. McCarthy B.D., Beshansky J.R., D'Agostino R.B., and Selker H.P. Missed diagnoses of acute myocardial infarction in the emergency department: results from a multicenter study. Ann Emerg Med 22 (1993) 579-582
3. Forest R.S., Shofer F.S., Sease K.L., and Hollander J.E. Assessment of the standardized reporting guidelines ECG classification system: the presenting ECG predicts 30 day outcomes. Ann Emerg Med 44 (2004) 206-221
4. Anderson J.L., Adams C.D., Antman E.M., Bridges C.R., Califf R.M., Casey Jr. D.E., et al. ACC/AHA 2007 guidelines for the management of patients with unstable angina/non-ST-elevation myocardial infarction: a report of the American College of Cardiology/American Heart Association Task Force on practice guidelines (Writing committee to Revise the 2002 Guidelines for the Management of Patients with Unstable Angina/Non-ST-Elevation Myocardial Infarction): developed in collaboration with the American College of Physicians, Society for Academic Emergency Medicine, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. J Am Coll Cardiol 50 (2007) e1-e157
5. Kontos M.C., Arrowood J.A., Paulsen W.H., and Nixon J.V. Early echocardiography can predict cardiac events in emergency department patients with chest pain. Ann Emerg Med 31 (1998) 550-557
6. Sabia P., Abbott R.D., Afrookteh A., Keller M.W., Touchstone D.A., and Kaul S. Importance of two-dimensional echocardiographic assessment of left ventricular systolic function in patients presenting to the emergency room with cardiac-related symptoms. Circulation 84 (1991) 1615-1624
7. Kontos M.C., Kurdziel K., McQueen R., Arrowood J.A., Jesse R.L., Ornato J.P., et al. Comparison of 2-dimensional echocardiography and myocardial perfusion imaging for diagnosing myocardial infarction in emergency department patients. Am Heart J 143 (2002) 659-667
8. Rinkevich D., Kaul S., Wang X.Q., Tong K.L., Belcik T., Kalvaitis S., et al. Regional left ventricular perfusion and function in patients presenting to the emergency department with chest pain and no ST-segment elevation. Eur Heart J 26 (2005) 1606-1611
9. Tong K.L., Kaul S., Wang X.Q., Rinkevich D., Kalvaitis S., Belcik T., et al. Myocardial contrast echocardiography versus thrombolysis in myocardial infarction score in patients presenting to the emergency department with chest pain and a nondiagnostic electrocardiogram. J Am Coll Cardiol 46 (2005) 920-927
10. 99mTc sestamibi SPECT. J Am Soc Echocardiogr 16 (2003) 1171-1177
11. Harrell F.E., Lee K.L., and Mark D.B. Tutorial in biostatistics multivariate prognostic models: issues in developing models, evaluating assumptions and adequacy, and measuring and reducing errors. Stat Med 15 (1996) 361-383
12. Efron B. Estimating the error rate of a prediction rule: improvement on cross-validation. Improvement on cross-validation. J Am Stat Assoc 78 (1983) 316-331
13. Selker H.P., Beshansky J.R., Griffith J.L., Aufderheide T.P., Ballin D.S., Bernard S.A., 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 Int Med 129 (1998) 845-855
14. Selker H.P., and Zalenski R.J. An evaluation of technologies for detecting acute cardiac ischemia in the emergency department: a report of the NIH national heart attack alert program. Ann Emerg Med 29 (1997) 1-87
15. Strussman BJ. National Hospital Ambulatory Medicine Care Survey: 1995 Emergency Department Summary. Advance data from vital and health statistics of the Center for Disease Control Prevention/National Center for Health Statistics. 1997;285:1-18.
16. Gilber W.B., Lewis L.M., Erb R.E., Markens P.K., Kaplan B.C., Vaughn R.H., et al. Early detection of acute myocardial infarction in patients presenting with chest pain and non-diagnostic ECGs: serial CK-MB sampling in the emergency department. Ann Emerg Med 9 (1990) 1359-1366
17. Gilber W.B., Young C.P., Hedges J.R., Lewis L.M., Smith M.S., Carleton S.C., et al. Acute myocardial infarction in chest pain patients with non-diagnostic ECG's: serial CK-MB sampling in the emergency department. Ann Emerg Med 21 (1992) 504-512
18. Cohen M, Hawkins L, Greenberg S, Fuster V. Usefulness of ST-segment changes in greater than or equal to 2 leads on the emergency room electrocardiogram in either unstable anginal pectoris or non-Q-wave myocardial infarction in predicting outcome. Am J Cardiol 19991;67:1368-1373.
19. Nyman I., Areskog M., Areskog N.H., Swahn E., and Wallentin L. Very early risk stratification by electrocardiogram at rest in men with suspected unstable coronary heart disease. J Intern Med 234 (1993) 293-301
20. Antman E.M., Tanasijevic M.J., Thompson B., Schactman M., McCabe C.H., Cannon C.P., et al. Cardiac-specific troponin I levels to predict the risk of mortality in patients with acute coronary syndromes. N Engl J Med 335 (1996) 1342-1349
21. Luscher M.S., Thygesen K., Ravkilde J., Heickendorff L., and for the TRIM Study Group. Applicability of cardiac troponin T and I for early risk stratification in unstable coronary artery disease. Circulation 96 (1997) 2578-2585
22. Kontos M.C., Jesse R.L., Anderson F.P., Schmidt K.L., Ornato J.P., and Tatum J.L. Comparison of myocardial perfusion imaging and cardiac troponin I in patients admitted to the emergency department with chest pain. Circulation 99 (1999) 2073-2078
23. Conti A., Gallini C., Costanzo E., Ferri P., Matteini M., Paladini B., et al. Early detection of myocardial ischaemia in the emergency department by rest or exercise 99mTc tracer myocardial SPET in patients with chest pain and non-diagnostic ECG. Eur J Nucl Med 28 (2001) 1806-1810
24. Udelson J.E., Beshansky J.R., Ballin D.S., Feldman J.A., Griffith J.L., Handler J., et al. Myocardial perfusion imaging for evaluation and triage of patients with suspected acute cardiac ischemia: a randomized controlled trial. JAMA 288 (2002) 2693-2700
25. Antman E., Cohen M., Bernink P.J.L., McCabe C.H., Horacek T., Papuchis G., et al. The TIMI risk score for unstable angina/non-ST elevation MI. A method for prognostication and therapeutic decision making. JAMA 284 (2000) 835-842
26. Kalvaitis S., Kaul S., Rinkevich D., Tong K.L., Belcik T., and Wei K. Effect of time delay on the diagnostic and prognostic utility of myocardial contrast echocardiography in patients presenting with suspected cardiac chest pain to the emergency department. J Am Soc Echocardiogr 19 (2006) 1488-1493
27. Wyrick J.J., Kalvitis S., McConnell J., Rinkevich D., Kaul S., and Wei K. Myocardial contrast echocardiography is cost-efficient in patients presenting to the emergency department with suspected cardiac chest pain and a non-diagnostic electrocardiogram. Am J Cardiol 102 (2008) 649-652
28. Hundley W.G., Kizilbash A.M., Afridi I., Franco F., Peshock R.M., and Grayburn P.A. Effect of contrast enhancement on transthoracic echocardiographic assessment of left ventricular regional wall motion. Am J Cardiol 84 (1999) 1365-1368
29. Malhotra V., Nwogu J., Bondmass M.D., Bean M., Bieniarz T., Tertell M., et al. Is the technically limited echocardiographic study an endangered species? Endocardial border delineation with native tissue harmonic imaging and Optison contrast: a review of 200 cases. J Am Soc Echocardiogr 13 (2000) 771-773
30. Thomson H.L., Basmadjian A.J., Rainbird A.J., Razavi M., Avierinos J.F., Pellikka P.A., et al. Contrast echocardiography improves the accuracy and reproducibility of left ventricular remodeling measurements: a prospective, randomly assigned, blinded study. J Am Coll Cardiol 38 (2001) 867-875