Role of imaging for acute chest pain syndromes

Abhijit Ghatak, Robert C. Hendel

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

Acute chest pain suggestive of ischemic cardiac origin, with a normal or nondiagnostic electrocardiogram and negative initial cardiac markers for myocardial necrosis represent a significant diagnostic dilemma for clinicians. Multiple imaging modalities play a pivotal role in early diagnosis and safe discharge of these patients. In this review, we compare the current imaging modalities available for these patients including their diagnostic accuracy, feasibility, and cost effectiveness. Acute rest myocardial perfusion imaging significantly improves the clinical outcome in these patients and reduces the overall cost when incorporated into the decision making pathway. The choice of imaging modality recommended should be based on local institutional expertise and the overall clinical presentation. The imaging modality with high diagnostic accuracy and negative predictive value will provide for precise risk stratification which is important to clinical decision making, including patients who require admission to the hospital and those who can be safely discharged.

Original languageEnglish (US)
Pages (from-to)71-81
Number of pages11
JournalSeminars in Nuclear Medicine
Volume43
Issue number2
DOIs
StatePublished - Mar 2013

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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