Myocardial Contrast Echocardiography Versus Thrombolysis in Myocardial Infarction Score in Patients Presenting to the Emergency Department With Chest Pain and a Nondiagnostic Electrocardiogram

Tong, Khim Leng; Kaul, Sanjiv; Wang, Xin Qun; Rinkevich, Diana; Kalvaitis, Saul; Belcik, Todd; Lepper, W.; Foster, William A.; Wei, Kevin

doi:10.1016/j.jacc.2005.03.076

Cited by 141 publications

(87 citation statements)

References 28 publications

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“…Ponadto można uwidocznić upośle-dzoną funkcję odcinkową za pomocą analizy odkształcenia (strain) i tempa odkształcenia (strain rate). Obie te techniki mogą poprawiać diagnostyczną i prognostyczną wartość konwencjonalnej echokardiografii [60,61]. Dodatkowo echokardiografia może być przydatna w wykrywaniu innych stanów przebiegających z bólem w klatce piersiowej, takich jak ostre rozwarstwienie aorty, płyn w osierdziu, zwężenie zastawki aortalnej, kardiomiopatia przerostowa lub poszerzenie prawej Rycina 3.…”

Section: Ocena Czynnościowaunclassified

2015 ESC guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation

Roffi¹,

Patrono²,

Collet³

et al. 2015

Kardiol Pol

207

165

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Section: Ocena Czynnościowaunclassified

2015 ESC guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation

Roffi¹,

Patrono²,

Collet³

et al. 2015

Kardiol Pol

207

165

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“…[16][17][18][19][20][21][22][23] Three studies were conducted in the United States, two in the United Kingdom, two in Spain, two in Italy and one in Canada. The mean age ranged from 53.6 to 71.3 years.…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

Diagnostic accuracy of the TIMI risk score in patients with chest pain in the emergency department: a meta-analysis

Hess

Agarwal

Chandra

et al. 2010

Canadian Medical Association Journal

113

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C hest pain is a common presenting complaint in the emergency department that requires efficient risk stratification, timely initiation of treatment in highrisk patients and safe determination of patient disposition. Several studies have been published that stratify the risk of patients in the emergency department with chest pain. [1][2][3][4][5] However, only the Thrombolysis in Myocardial Infarction (TIMI) risk score, which was initially developed for use in patients with unstable angina or non-ST-segment elevation myocardial infarction or both, 6 has been broadly validated in several independent emergency department populations with chest pain and thus constitutes the highest level of evidence available. The TIMI risk score assigns each of seven predictors a value of one point, allowing stratification of patients into one of eight prognostic categories (Box 1). 6 The clinical end points are acute myocardial infarction, coronary revascularization and death from any cause.A robust estimate of the performance of the TIMI risk score obtained from a systematic review may prove useful to both clinicians and researchers. Clinicians would have a reliable quantitative estimate of a patient's short-term risk of a cardiac event. This could be used as an adjunct to clinical acumen and as a tool to communicate risk to patients in a shared decision-making model of care.7 Researchers would also have an estimate of the prognostic accuracy of the TIMI risk score derived from different practice settings and patient populations that represent a wide variety of ethnic backgrounds. This estimate may serve as a useful baseline for comparison as emerging clinical prediction rules and imaging modalities continue to refine our approach to diagnosis and risk stratification in patients in the emergency department with potential acute coronary syndromes.We conducted a comprehensive systematic review and meta-analysis to assess the methodological quality and prognostic performance of studies that had prospectively validated the TIMI risk score in patients in the emergency department. MethodsThis systematic review and meta-analysis adheres to the reporting guidelines of Meta-analysis of Observational Studies in Epidemiology (MOOSE) 8 and the Preferred Reporting Items for Systematic reviews and Meta-analyses (PRISMA) statement as applicable to meta-analyses of observational studies. Background: The Thrombolysis in Myocardial Infarction (TIMI) risk score uses clinical data to predict the short-term risk of acute myocardial infarction, coronary revascularization or death from any cause. It was originally developed for use in patients with unstable angina or non-STelevation myocardial infarction. We sought to expand the clinical application of the TIMI risk score by assessing its prognostic accuracy in patients in the emergency department with potential acute coronary syndromes.

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“…Indeed, patients with normal myocardial perfusion and function at rest have an excellent outcome, while the presence of perfusion defects at rest identifies a subset of patients at high risk for ACS. 29 However, the choice of appropriate technical settings and correct interpretation of images is highly specialized and requires experience and technical expertise which is usually outside the practice of emergency department and intensive care physicians, as well as many cardiologists.…”

Section: Acssmentioning

confidence: 99%

The use of echocardiography in acute cardiovascular care: Recommendations of the European Association of Cardiovascular Imaging and the Acute Cardiovascular Care Association

Lancellotti

Price

Edvardsen

et al. 2014

European Heart Journal: Acute Cardiovascular Care

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Echocardiography is one of the most powerful diagnostic and monitoring tools available to the modern emergency/ critical care practitioner. Currently, there is a lack of specific European Association of Cardiovascular Imaging/Acute Cardiovascular Care Association recommendations for the use of echocardiography in acute cardiovascular care. In this document, we describe the practical applications of echocardiography in patients with acute cardiac conditions, in particular with acute chest pain, acute heart failure, suspected cardiac tamponade, complications of myocardial infarction, acute valvular heart disease including endocarditis, acute disease of the ascending aorta and post-intervention complications. Specific issues regarding echocardiography in other acute cardiovascular care scenarios are also described.

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Myocardial Contrast Echocardiography Versus Thrombolysis in Myocardial Infarction Score in Patients Presenting to the Emergency Department With Chest Pain and a Nondiagnostic Electrocardiogram

Cited by 141 publications

References 28 publications

2015 ESC guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation

2015 ESC guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation

Diagnostic accuracy of the TIMI risk score in patients with chest pain in the emergency department: a meta-analysis

The use of echocardiography in acute cardiovascular care: Recommendations of the European Association of Cardiovascular Imaging and the Acute Cardiovascular Care Association

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