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January 1, 1998ACC Current Journal ReviewOpen Access

The Physical Examination of the Future: Echocardiography as Part of the Assessment

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Why the study?

Does dobutamine stress tele-echocardiography accurately identify emergency department patients with chest pain who can be safely discharged?

Population

163 patients presenting to the emergency department with chest pain, no evidence of myocardial infarction on…

Comparison

Dobutamine stress tele-echocardiography… vs Clinical and cardiac catheterization findings.

Design

Cohort

Authors

RPRichard L. PoppCardiac Imaging

Discussion

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Implication

Supports DSTE for ED chest pain triage; observational data leaves open need for RCTs before changing discharge practice.

Structured PICO

Does dobutamine stress tele-echocardiography accurately identify emergency department patients with chest pain who can be safely discharged?

P
Population
163 patients presenting to the emergency department with chest pain, no evidence of myocardial infarction on initial blood studies or the electrocardiogram, who were recommended for hospital admission to rule out myocardial infarction or myocardial ischemia.
I
Intervention
Dobutamine stress tele-echocardiography (DSTE) administered by a trained nurse after normal rest echocardiography transmitted to a cardiologist.
C
Comparator
Clinical and cardiac catheterization findings (as reference standard).
O
Outcome
Sensitivity, specificity, and negative predictive value of DSTE versus clinical and cardiac catheterization findings.surrogate

Dobutamine stress tele-echocardiography is an accurate and practical method for evaluating ED patients with chest pain, allowing safe discharge of a significant proportion of patients otherwise slated for admission.

Cite This Study

Richard L. Popp (1998) studied this question.

synapsesocial.com/papers/6a758ba89fe5b048e4e71bdbhttps://doi.org/10.1016/s1062-1458(97)00124-4
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Also Consider

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

  1. 1Assessment of coronary artery disease by dobutamine stress echocardiography (DSE)1995 · 6 citations
  2. 2Long‐Term Value of Stress Echocardiography in the Triage of Patients with Atypical Chest Pain Presenting to the Emergency Department1999 · 18 citations
  3. 3Emergency Department Evaluation of Chest Pain Using Exercise Stress Echocardiography2001 · 29 citations
  4. 4Safety and prognostic value of early dobutamine–atropine stress echocardiography in patients with spontaneous chest pain and a non-diagnostic electrocardiogram2000 · 105 citations
  5. 5Advantages and Disadvantages of Dobutamine Stress Echocardiography Compared With Treadmill Exercise Electrocardiography in Detecting Ischemia1996 · 10 citations