Evaluation of Chest Pain in the Emergency Department
Authors: Sanjiv Kaul
Journal: Annals of Internal Medicine (1995)

Letters15 August 1995Evaluation of Chest Pain in the Emergency DepartmentSanjiv Kaul and Robert D. AbbottSanjiv KaulUniversity of Michigan Medical Center, Ann Arbor, MI 48109-0028. William Beaumont Hospital, Royal Oak, MI 48073. Emory University, Atlanta, GA 30333. American College of Emergency Physicians, Dallas, TX 75261. University of Cincinnati Medical Center, Cincinnati, OH 45267. San Luis Medical Clinic, Ltd., San Luis Obispo, CA 93401. George Washington University, Washington, DC 20037. State University of New York at Syracuse, Syracuse, NY 13210.Anderson Area Medical Center, Anderson, SC 29621. University of Virginia School of Medicine, Charlotesville, VA 22908.Search for more papers by this author and Robert D. AbbottUniversity of Michigan Medical Center, Ann Arbor, MI 48109-0028. William Beaumont Hospital, Royal Oak, MI 48073. Emory University, Atlanta, GA 30333. American College of Emergency Physicians, Dallas, TX 75261. University of Cincinnati Medical Center, Cincinnati, OH 45267. San Luis Medical Clinic, Ltd., San Luis Obispo, CA 93401. George Washington University, Washington, DC 20037. State University of New York at Syracuse, Syracuse, NY 13210.Anderson Area Medical Center, Anderson, SC 29621. University of Virginia School of Medicine, Charlotesville, VA 22908.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-123-4-199508150-00023 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:We are bemused by the number and wide range of responses generated by our editorial. At one end of the spectrum is the letter from Dr. Weissman and colleagues, who state that one of the approaches we suggested has “indeed improved efficiency and reduced cost” at the William Beaumont Hospital in Royal Oak, Michigan. They state that the use of single-photon emission computed tomographic imaging with Tc-99m sestamibi has changed the management decision in two thirds of their patients with unexplained chest pain. No patient discharged on the basis of the results of this imaging study, had an ...References1. Sabia P, Abbott RD, Afrookteh A, Keller MW, Touchstone DA, Kaul S. The importance of two-dimensional echocardiographic assessment of left ventricular systolic function in patients presenting to the emergency room with cardiac-related symptoms. Circulation. 1991; 84:1615-24. Google Scholar2. Peels CH, Visser CA, Kupper AJ, Visser FC, Roos JP. Usefulness of two-dimensional echocardiography for immediate detection of myocardial ischemia in the emergency room. Am J Cardiol. 1990; 65:687-91. Google Scholar3. Varetto T, Cantalupi D, Altieri A, Orlandi C. Emergency 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. Google Scholar4. Christian TF, Clements IP, Gibbons RJ. Noninvasive identification of myocardium at risk in patients with acute myocardial infarction and nondiagnostic electrocardiograms with technetium-99m sestamibi. Circulation. 1991; 83:1615-20. Google Scholar5. Hilton TC, Thompson RC, Williams HJ, Saylors R, Fulmer H, Stowers SA. Technetium-99m sestamibi myocardial perfusion imaging in the emergency room evaluation of chest pain. J Am Coll Cardiol. 1994; 23:1016-22. Google Scholar Author, Article, and Disclosure InformationAffiliations: University of Michigan Medical Center, Ann Arbor, MI 48109-0028. William Beaumont Hospital, Royal Oak, MI 48073. Emory University, Atlanta, GA 30333. American College of Emergency Physicians, Dallas, TX 75261. University of Cincinnati Medical Center, Cincinnati, OH 45267. San Luis Medical Clinic, Ltd., San Luis Obispo, CA 93401. George Washington University, Washington, DC 20037. State University of New York at Syracuse, Syracuse, NY 13210.Anderson Area Medical Center, Anderson, SC 29621. University of Virginia School of Medicine, Charlotesville, VA 22908. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byCardiologists in casualty? 15 August 1995Volume 123, Issue 4Page: 314-318KeywordsAcute myocardial infarctionCardiology and cardiovascular diseasesElectrocardiographyEmergency departmentIschemiaNeural networksPatientsPrevention, policy, and public healthPrimary care physiciansProspective studies ePublished: 15 August 2000 Issue Published: 15 August 1995 Copyright & PermissionsCopyright © 1995 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...