Cardiac Magnetic Resonance in the Emergency Department to Evaluate Patients for Possible Acute Coronary Syndrome

被引:0
|
作者
Miller, Chadwick D. [1 ]
Hundley, W. Gregory [2 ,3 ]
机构
[1] Wake Forest Sch Med, Dept Emergency Med, Med Ctr Blvd, Winston Salem, NC 27157 USA
[2] Wake Forest Sch Med, Dept Internal Med, Sect Cardiol, Winston Salem, NC 27157 USA
[3] Wake Forest Sch Med, Dept Radiol, Winston Salem, NC 27157 USA
关键词
Cardiovascular magnetic resonance; Stress testing; Cost-effectiveness; Acute coronary artery syndrome;
D O I
10.1007/s12410-012-9123-y
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
The use of cardiac magnetic resonance (CMR) imaging has recently been demonstrated to be a useful adjunct in the evaluation of emergency department (ED) patients with acute chest pain. This modality allows the assessment of non-ischemic causes of chest pain, early ischemic changes (T2-weighted imaging for edema), resting and stress perfusion abnormalities, resting and stress wall motion abnormalities, and assessment for scar formation with delayed enhancement. This comprehensive information appears most useful when evaluating higher complexity patients such as those at intermediate or high risk for ACS. In these more complex patients, the use of CMR is supported by appropriateness criteria, and in recent studies appears to be a cost-effective alternative to inpatient evaluation when combined with observation unit care.
引用
下载
收藏
页码:92 / 98
页数:7
相关论文
共 50 条
  • [1] Cardiac Magnetic Resonance in the Emergency Department to Evaluate Patients for Possible Acute Coronary Syndrome
    Chadwick D. Miller
    W. Gregory Hundley
    Current Cardiovascular Imaging Reports, 2012, 5 (2) : 92 - 98
  • [2] Detecting acute coronary syndrome in the emergency department with cardiac magnetic resonance imaging
    Kwong, RY
    Schussheim, AE
    Rekhraj, S
    Aletras, AH
    Geller, N
    Davis, J
    Christian, TF
    Balaban, RS
    Arai, AE
    CIRCULATION, 2003, 107 (04) : 531 - 537
  • [3] Unexpected Cardiac Magnetic Resonance Imaging Findings in Patients Presenting to the Emergency Department for Potential Acute Coronary Syndrome
    Ziegler, C. E.
    Painter, D. M.
    Borawski, J. B.
    Kim, R. J.
    Kim, H. W.
    Limkakeng, A. T.
    ANNALS OF EMERGENCY MEDICINE, 2017, 70 (04) : S42 - S42
  • [4] SATISFACTION AND EMERGENCY DEPARTMENT REVISITS IN PATIENTS WITH POSSIBLE ACUTE CORONARY SYNDROME
    Katz, David A.
    Aufderheide, Tom P.
    Gaeth, Gary
    Rahko, Peter S.
    Hillis, Stephen L.
    Selker, Harry P.
    JOURNAL OF EMERGENCY MEDICINE, 2013, 45 (06): : 947 - 956
  • [5] Cardiac magnetic resonance with T2-weighted imaging improves detection of patients with acute coronary syndrome in the emergency department
    Cury, Ricardo C.
    Shash, Khalid
    Nagurney, John T.
    Rosito, Guido
    Shapiro, Michael D.
    Nomura, Cesar H.
    Abbara, Suhny
    Bamberg, Fabian
    Ferencik, Maros
    Schmidt, Ehud J.
    Brown, David F.
    Hoffmann, Udo
    Brady, Thomas J.
    CIRCULATION, 2008, 118 (08) : 837 - 844
  • [6] Multimorbidity phenotypes in patients presenting to the emergency department with possible acute coronary syndrome
    Breen, Katherine M.
    Finnegan, Lorna
    Vuckovic, Karen M.
    Fink, Anne M.
    Rosamond, Wayne
    DeVon, Holli A.
    HEART & LUNG, 2021, 50 (05): : 648 - 653
  • [7] Adverse outcomes following emergency department discharge of patients with possible acute coronary syndrome
    Loten, Conrad
    Isbister, Geoffrey
    Jamcotchian, Melissa
    Hullick, Carolyn
    MacElduff, Patrick
    Attia, John
    Marley, John
    EMERGENCY MEDICINE AUSTRALASIA, 2009, 21 (06) : 455 - 464
  • [8] Comparison of Cardiac Risk Scores in Emergency Department Patients With Potential Acute Coronary Syndrome
    Lee, B.
    Chang, A.
    Matsuura, A. C.
    Marcoon, S.
    Hollander, J. E.
    ANNALS OF EMERGENCY MEDICINE, 2011, 58 (04) : S189 - S190
  • [9] The Value of Cardiac Magnetic Resonance in Patients With Acute Coronary Syndrome and Normal Coronary Arteries
    Laraudogoitia Zaldumbide, Eva
    Perez-David, Esther
    Larena, Jose A.
    Velasco del Castillo, Sonia
    Rumoroso Cuevas, Jose R.
    Onaindia, Jose J.
    Lekuona Goya, Inaki
    Garcia-Fernandez, Miguel A.
    REVISTA ESPANOLA DE CARDIOLOGIA, 2009, 62 (09): : 976 - 983
  • [10] The impact of unstable angina guidelines in the triage of emergency department patients with possible acute coronary syndrome
    Katz, David A.
    Aufderheide, Tom P.
    Bogner, Mark
    Rahko, Peter R.
    Brown, Roger L.
    Brown, Lisa M.
    Prekker, Matthew E.
    Selker, Harry P.
    MEDICAL DECISION MAKING, 2006, 26 (06) : 606 - 616