지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.1
- 수록면
- 91 - 107 (17page)
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초록· 키워드
오류제보하기
Chest pain is one of the most common presenting symptoms in the emergency department (ED). Among patients with abnormal troponins, it is imperative to quickly and accurately distinguish type 1 acute myocardial infarction (AMI) from other etiologies of myocardial injury. Although high-sensitivity troponin assays introduced a high negative predictive value for AMI, they have exposed the need for diagnostic modalities that can determine the etiology of acute myocardial injury. Cardiac magnetic resonance imaging (CMR) is an effective tool to risk stratifying chest pain among patients in the ED. CMR is non-invasive and has a lower cost of care and shorter length of stay compared to those of invasive coronary angiography. It also provides detailed information on cardiac morphology, function, tissue edema, and location and pattern of tissue damage that can help to differentiate many etiologies of cardiac injury. CMR is particularly useful to distinguish chest pain due to type 1 AMI versus supply-demand mismatch due to acute cardiac noncoronary artery disease. A detailed review of the literature has shown that CMR with stress testing is safe to use in patients presenting to the ED with chest pain, with or without abnormal troponins. CMR is a useful, safe, economical, and effective alternative to the traditional diagnostic tools that are typically used in this patient population. It is a practical tool to risk-stratify patients with possible cardiac pathology and to clarify diagnosis without invasive testing.
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등록된 정보가 없습니다.
참고문헌 (37)
참고문헌 신청
Rui PK / 2017 / National Hospital Ambulatory Medical Care Survey: 2017 Emergency Department Summary Tables
Reichlin T / 2009 / Early diagnosis of myocardial infarction with sensitive cardiac troponin assays / N Engl J Med 361:858~867
Shah AS / 2017 / Patient selection for high sensitivity cardiac troponin testing and diagnosis of myocardial infarction: prospective cohort study / BMJ 359:j4788
Haaf P / 2012 / High-sensitivity cardiac troponin in the distinction of acute myocardial infarction from acute cardiac noncoronary artery disease / Circulation 126:31~40
McNamara RL / 2014 / International comparisons of the management of patients with non-ST segment elevation acute myocardial infarction in the United Kingdom, Sweden, and the United States: The MINAP/NICOR, SWEDEHEART/RIKS-HIA, and ACTION Registry-GWTG/NCDR registries / Int J Cardiol 175:240~247
Reichlin T / 2009 / Early diagnosis of myocardial infarction with sensitive cardiac troponin assays / N Engl J Med 361:858~867
Shah AS / 2017 / Patient selection for high sensitivity cardiac troponin testing and diagnosis of myocardial infarction: prospective cohort study / BMJ 359:j4788
Haaf P / 2012 / High-sensitivity cardiac troponin in the distinction of acute myocardial infarction from acute cardiac noncoronary artery disease / Circulation 126:31~40
McNamara RL / 2014 / International comparisons of the management of patients with non-ST segment elevation acute myocardial infarction in the United Kingdom, Sweden, and the United States: The MINAP/NICOR, SWEDEHEART/RIKS-HIA, and ACTION Registry-GWTG/NCDR registries / Int J Cardiol 175:240~247
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