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LettersChest pain in the emergency department: role of cardiac imaging
Correspondence to:
Correspondence to Dr Jesus Peteiro, Hospital Universitario A Coruña, Spain; pete@canalejo.org
Accepted 23 July 2009
| The first 150 words of the full text of this article appear below. |
To the editor: We read with interest the review by Wackers on the role of cardiac imaging in the emergency department.1 While many relevant imaging techniques commonly used in this setting are properly discussed, we are concerned about the lack of mention of the role of exercise echocardiography (echo). In fact, in the key points table only exercise echo, radionuclide myocardial perfusion imaging and pharmacological stress echocardiography are listed. The latter imaging techniques are considered to have adequate sensitivity to rule out coronary artery disease (CAD), but it is not the case for exercise echo. However, exercise echo may overcome the limitations of exercise echo,2 3 as it has been shown in several reports on patients admitted to chest pain units.4 5 Compared to pharmacological stress echo, exercise echo is safer, allows assessment of important prognostic exercise variables6 and is recommended over the former in patients able to exercise.7 It is
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- F J Wackers
Heart 2009 95: 1802.[Extract] [Full Text] [PDF]
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