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Noninvasive Imaging of Myocardial Ischemia pp 221–235Cite as

Imaging in the Emergency Department or Chest Pain Unit

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7. Conclusions

The assessment and triage of ED patients with suspected ACS is a process that requires considerations of clinical risk, patient safety, and cost-effectiveness. The strategies used should be highly sensitive to minimize the chances of missing the diagnosis of ACS. The noninvasive modalities of MPI and echocardiography have suitable characteristics. Data on MPI predominate in the literature, with prospective, randomized studies demonstrating applicability, safety, and cost-effectiveness, such that ED MPI for evaluation of suspected ACS has attained a class I, level A indication in the US. In the future, imaging of ischemic memory using fatty acid analogs such as BMIPP may further enhance the utility of radionuclide imaging in this setting.

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Authors and Affiliations

  1. Tufts-New England Medical Center and Tufts University School of Medicine, Boston, MA, USA

    Prem Soman MD, PhD, MRCP & James E. Udelson MD

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  1. Prem Soman MD, PhD, MRCP
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  2. James E. Udelson MD
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Editors and Affiliations

  1. Royal Brompton Hospital, London, UK

    Constantinos D Anagnostopoulos MD, PhD, FRCR, FESC

  2. Chelsea & Westminster Hospital, London, UK

    Constantinos D Anagnostopoulos MD, PhD, FRCR, FESC

  3. Imperial College School of Medicine, National Heart and Lung Institute, London, UK

    Constantinos D Anagnostopoulos MD, PhD, FRCR, FESC

  4. Hammersmith Hospital, Imperial College, London, UK

    Petros Nihoyannopoulos MD, FRCP, FACC, FESC

  5. Leiden University Medical Center, Leiden, The Netherlands

    Jeroen J. Bax MD, PhD  & Ernst van der Wall MD, FESC, FACC  & 

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Soman, P., Udelson, J.E. (2006). Imaging in the Emergency Department or Chest Pain Unit. In: Anagnostopoulos, C.D., Nihoyannopoulos, P., Bax, J.J., van der Wall, E. (eds) Noninvasive Imaging of Myocardial Ischemia. Springer, London. https://doi.org/10.1007/1-84628-156-3_13

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  • DOI: https://doi.org/10.1007/1-84628-156-3_13

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