Utility and diagnostic accuracy of hand-carried ultrasound for emergency room evaluation of chest pain

被引:37
作者
Atar, S [1 ]
Feldman, A
Darawshe, A
Siegel, RJ
Rosenfeld, T
机构
[1] HaEmek Med Ctr, Dept Cardiol, IL-18101 Afula, Israel
[2] HaEmek Med Ctr, Dept Emergency Med, IL-18101 Afula, Israel
[3] Cedars Sinai Med Ctr, Div Cardiol, Los Angeles, CA 90048 USA
关键词
D O I
10.1016/j.amjcard.2004.04.052
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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. (C)2004 by Excerpta Medica, Inc.
引用
收藏
页码:408 / 409
页数:2
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