Key result
Rest MPI expedites diagnosis and reperfusion in atypical chest pain with nondiagnostic ECG.
Why the study?
Myocardial perfusion imaging is recommended for chest pain evaluation in acute coronary syndromes with nondiagnostic ECG but is not widely used for patients with intermediate pretest probability for coronary artery disease in the ER.
Does rest myocardial perfusion imaging (MPI) aid in diagnosing acute myocardial infarction in patients with atypical chest pain and a nondiagnostic ECG?
Case Report (n=1)
Does rest myocardial perfusion imaging (MPI) aid in diagnosing acute myocardial infarction in patients with atypical chest pain and a nondiagnostic ECG?
Resting myocardial perfusion imaging can be a pivotal diagnostic tool for acute myocardial infarction in ER patients with atypical chest pain and nondiagnostic ECGs.
May support selective resting MPI use in intermediate-risk ER chest pain; leaves open need for prospective validation before wider adoption.
ACC/AHA guidelines assign a class I indication for use of myocardial perfusion imaging (MPI) for the evaluation of chest pain in patients with acute coronary syndromes and a nondiagnostic ECG. However, MPI is not a widely used modality for the evaluation of patients who present to the ER with chest pain and an intermediate pretest probability for coronary artery disease.We report a case in which resting MPI was pivotal in diagnosing acute myocardial infarction and expedited the appropriate reperfusion strategy.
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Grube et al. (2009) conducted a case report in Atypical chest pain and nondiagnostic ECG (n=1). Resting myocardial perfusion imaging (MPI) was evaluated on Diagnosis of acute myocardial infarction and expedited reperfusion strategy. Resting myocardial perfusion imaging was pivotal in diagnosing acute myocardial infarction and expediting the appropriate reperfusion strategy in a patient with atypical chest pain and a nondiagnostic ECG.
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