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February 1, 1999Echocardiography

Role of Echocardiography in the Emergency Department for Identifying Patients with Myocardial Infarction and Ischemia

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Why the study?

Does echocardiography improve the identification of myocardial infarction and ischemia in patients evaluated for chest pain in the emergency department?

Population

Patients evaluated in the emergency department for myocardial ischemia or chest pain

Comparison

Echocardiography vs Electrocardiography and myocardial perfusion…

Design

Review

Authors

MKMichael C. KontosGeneral Cardiology

Discussion

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Implication

Supports ED chest pain evaluation; leaves open need for prospective outcome trials before practice change.

Structured PICO

Does echocardiography improve the identification of myocardial infarction and ischemia in patients evaluated for chest pain in the emergency department?

P
Population
Patients evaluated in the emergency department for myocardial ischemia or chest pain
I
Intervention
Echocardiography
C
Comparator
Electrocardiography and myocardial perfusion imaging
O
Outcome
Identification of myocardial infarction and ischemia

Echocardiography is a highly sensitive, noninvasive tool for identifying myocardial infarction and ischemia in emergency department patients presenting with chest pain.

Cite This Study

Michael C. Kontos (1999) studied this question.

synapsesocial.com/papers/69ffcbe3d1d8b50f8e9a0fddhttps://doi.org/10.1111/j.1540-8175.1999.tb00804.x
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Overestimation of infarct size by quantitative two-dimensional echocardiography: the role of tethering and of analytic procedures.1986 · 122 citations
  2. 2Sustained regional dysfunction produced by prolonged coronary stenosis: gradual recovery after reperfusion.1983 · 260 citations
  3. 3The diagnoses of patients admitted with acute chest pain but without myocardial infarction1996 · 150 citations
  4. 4Regional Myocardial function in the conscious dog during acute coronary occlusion and responses to morphine, propranolol, nitroglycerin, and lidocaine.1976 · 325 citations
  5. 5Cross-sectional echocardiography in acute myocardial infarction: detection and localization of regional left ventricular asynergy.1979 · 278 citations