Utility and diagnostic accuracy of hand-carried ultrasound for emergency room evaluation of chest pain.
This study examined the utility and accuracy of immediate hand-carried echocardiography in patients presenting to the emergency room with chest pain and a normal or nondiagnostic electrocardiogram. Hand-carried echocardiography was highly concordant (kappa = 0.8) with troponin T tests as well as the discharge diagnosis of acute coronary syndrome, had a 100% sensitivity for the detection of acute coronary syndrome, 93% specificity, and 71% and 100% positive and negative predictive values, respectively.
Department of Cardiology, Ha'Emek Medical Center, Afula, Israel. atar_sh@clalit.org.il
Shaul
S
Atar
Alexander
A
Feldman
Aziz
A
Darawshe
Robert J
RJ
Siegel
Tiberio
T
Rosenfeld
D000328:Adult; D000368:Aged; D002637:Chest Pain / Q000175:diagnosis / Q000000981:diagnostic imaging*; D015150:Echocardiography, Doppler / Q000295:instrumentation / Q000706:statistics & numerical data*; D004562:Electrocardiography; D004636:Emergency Service, Hospital; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis*; D019095:Point-of-Care Systems; D011237:Predictive Value of Tests; D012680:Sensitivity and Specificity; D012720:Severity of Illness Index; D020107:Troponin T / Q000097:blood
D020107:Troponin T