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Acute Coronary Syndrome Evaluation with Nuclear Medicine in the Emergency Setting

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Nuclear Cardiology

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Abstract

In this chapter we will approach different modalities of cardiovascular stratification in emergency room, pointing pros and cons. First valuation of a patient with chest pain is ECG and troponin, which are a good tool to identify myocardial necrosis, although it is frequently not enough to identify ACS with normal ECG and to predict an event and discharge patient safely. For that, risk stratification is crucial to prevent coronary events, invasive conducts, rehospitalizations, unnecessary health resource expenditures, and occupation of highly complex hospital beds with low-risk patients.

The most well-known and widespread methods are exercise stress testing, stress echocardiography, myocardial perfusion scintigraphy, and magnetic resonance imaging.

Efforts are being made to determine the potential of each method, and our objective is to approach risk and cost benefits and its possible variations, such as acute images and the usage of provocative tests, clarifying the right indication to each method.

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Authors and Affiliations

  1. Radiology Department, Nuclear Medicine Section, Hospital Universitário Antônio Pedro – Universidade Federal Fluminense, Niterói, Brazil

    Jader Cunha de Azevedo & Cláudio Tinoco Mesquita

  2. Nuclear Medicine, Hospital Pró-Cardíaco, Rio de Janeiro, Brazil

    Fernanda Salomão Costa

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  1. Jader Cunha de Azevedo
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  2. Fernanda Salomão Costa
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  3. Cláudio Tinoco Mesquita
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Correspondence to Cláudio Tinoco Mesquita .

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Editors and Affiliations

  1. Fluminense Federal University, Niterói, Rio de Janeiro, Brazil

    Cláudio Tinoco Mesquita

  2. Hospital Vitória, Rio de Janeiro, Rio de Janeiro, Brazil

    Maria Fernanda Rezende

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de Azevedo, J.C., Costa, F.S., Mesquita, C.T. (2021). Acute Coronary Syndrome Evaluation with Nuclear Medicine in the Emergency Setting. In: Mesquita, C.T., Rezende, M.F. (eds) Nuclear Cardiology. Springer, Cham. https://doi.org/10.1007/978-3-030-62195-7_30

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  • DOI: https://doi.org/10.1007/978-3-030-62195-7_30

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