2015, Number 1
<< Back Next >>
CorSalud 2015; 7 (1)
Experience of the Institute of Cardiology in the assessment of patients with acute chest pain by Nuclear Cardiology techniques
Peix GA
Language: Spanish
References: 24
Page: 52-59
PDF size: 511.55 Kb.
ABSTRACT
The World Health Organization acknowledges that cardiovascular disease is the leading cause of death in adults worldwide, and one third of all causes of death. Chest pain accounts for 6% of all visits to emergency departments. Proper diagnosis of those cases with normal or nondiagnostic electrocardiogram is therefore essential, allowing adequate risk stratification and appropriate treatment. The usefulness of different imaging techniques to study these patients in the acute setting is assessed, with emphasis on Nuclear Cardiology techniques. The experience of the Institute of Cardiology and Cardiovascular Surgery in Havana, Cuba, with regard to the use of these techniques in patients with acute chest pain, is reported.
REFERENCES
Mendis S, Puska P, Norvving B, eds. Global atlas on cardiovascular disease prevention and control. Ge-neva: World Health Organization; 2011.
Ministerio de Salud Pública. Anuario Estadístico de Salud 2013 [Internet]. La Habana: Dirección Nacio-nal de Registros Médicos y Estadísticas; 2014 [cita-do 10 Ago 2014]. Disponible en: http://files.sld.cu/dne/files/2014/05/anuario-2013-esp-e.pdf
Kontos M. Myocardial perfusion imaging in the acute care setting. J Nucl Cardiol. 2007;14:S125-32.
Braunwald E, Antman EM, Beasley JW, Califf RM, Cheitlin MD, Hochman JS, et al. ACC/AHA Guide-lines for the management of patients with unstable angina and non-ST-segment elevation myocardial infarction: Executive summary and recommend-dations. A report of the American College of Car-diology/American Heart Association Task Force on Practice Guidelines (Committee on the Manage-ment of Patients with Unstable Angina). Circulation. 2000;102:1193-209.
Lee TH, Goldman L. Evaluation of the patient with acute chest pain. N Engl J Med. 2000;342:1187-95.
Farkouh ME, Smars PA, Reeder GS, Zinsmeister AR, Evans RW, Meloy TD, et al. A clinical trial of a chest-pain observation unit for patients with unstable an-gina. Chest Pain Evaluation in the Emergency Room (CHEER) Investigators. N Engl J Med. 1998;339: 1882-8.
Gani F, Jain D, Lahiri A. The role of cardiovascular imaging techniques in the assessment of patients with acute chest pain. Nucl Med Commun. 2007; 28:441-9.
Kaul S, Senior R, Firschke C, Wang XQ, Lindner J, Vi-llanueva FS, et al. Incremental value of cardiac imaging in patients presenting to the emergency department with chest pain and without ST-seg-ment elevation: a multicenter study. Am Heart J. 2004;148:129-36.
Kwong RY, Schussheim AE, Rekhraj S, Aletras AH, Geller N, Davis J, et al. Detecting acute coronary syndrome in the emergency department with cardiac magnetic resonance imaging. Circulation. 2003;107:531-7.
Hoffmann U, Bamberg F, Chae CU, Nichols JH, Ro-gers IS, Seneviratne SK, et al. Coronary computed tomography angiography for early triage of pa-tients with acute chest pain. The ROMICAT (Rule Out Myocardial Infarction using Computer Assisted Tomography) Trial. J Am Coll Cardiol. 2009;53: 1642-50.
Wilson SR, Min JK. The potential role for the use of cardiac computed tomography angiography for the acute chest pain patient in the emergency depart-ment. J Nucl Cardiol. 2011;18:168-76.
Samad Z, Hakeem A, Mahmood SS, Pieper K, Patel M, Simel DL, et al. A meta-analysis and systematic review of computed tomography angiography as a diagnostic triage tool for patients with chest pain presenting to the emergency department. J Nucl Cardiol. 2012;19:364-76.
Georgiou D, Budoff M, Kaufer E, Kennedy J, Lu B, Brundage B. Screening patients with chest pain in the emergency department using electron beam tomography: a follow-up study. J Am Coll Cardiol. 2001;38:105-10.
Gaemperli O, Schepis T, Valenta I, Van Der Voort PH, Bonnier HJ, Bartunek J, et al. Functionally rele-vant coronary artery disease: Comparison of 64 section CT angiography with myocardial perfusion SPECT. Radiology. 2008;248:414-23.
Shaw LJ, Iskandrian AE. Prognostic value of gated myocardial perfusion SPECT. J Nucl Cardiol. 2004; 11:171-85.
van der Wieken LR, Kan G, Belfer AJ, Visser CA, Jaarsma W, Lie KI, et al. Thallium-201 scanning to decide CCU admission in patients with non-diag-nostic electrocardiograms. Int J Cardiol. 1983;4: 285-99.
Kontos MC, Tatum JL. Imaging in the evaluation of the patient with suspected acute coronary syn-drome. Cardiol Clin. 2005;23:517-30.
Udelson JE, Beshansky JR, Ballin DS, Feldman JA, Griffith JL, Handler J, et al. Myocardial perfusion imaging for evaluation and triage of patients with suspected acute cardiac ischemia: A randomized controlled trial. JAMA. 2002;288:2693-700.
Better N, Karthikeyan G, Vitola J, Fatima A, Peix A, Novak MD, et al. Performance of rest myocardial perfusion imaging in the management of acute chest pain in the emergency room in developing nations (PREMIER trial). J Nucl Cardiol. 2012;19: 1146-53.
Peix A, Batista E, Cabrera LO, Rodríguez L, Padrón L, Saínz B, et al. Gated-SPECT myocardial perfusion imaging and coronary calcium score for evaluation of patients with acute chest pain and a normal or nondiagnostic electrocardiogram. Coron Artery Dis. 2012;23:438-44.
Varetto T, Cantalupi D, Altieri A, Orlandi C. Emer-gency room technetium-99m sestamibi imaging to rule out acute myocardial ischemic events in patients with nondiagnostic electrocardiograms. J Am Coll Cardiol. 1993;22:1804-8.
Schaeffer M, Brennan T, Hughes J, Gibler W, Ger- son M. Resting radionuclide myocardial perfusion imaging in a chest pain center including an over-night delayed image acquisition protocol. J Nucl Med Technol. 2007;35:242-5.
Priest VL, Scuffham PA, Hachamovitch R, Marwick TH. Cost-effectiveness of coronary computed tomo-graphy and cardiac stress imaging in the emergency department: A decision analytic model comparing diagnostic strategies for chest pain in patients at low risk of acute coronary syndromes. JACC Cardio-vasc Imaging. 2011;4:549-56.
Nabi F, Chang SM, Xu J, Gigliotti E, Mahmarian JJ. Assessing risk in acute chest pain: The value of stress myocardial perfusion imaging in patients admitted through the emergency department. J Nucl Cardiol. 2012;19:233-43.