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Correspondence to Dr F J Wackers, Yale University School of Medicine, New Haven, USA; frans.wackers@yale.edu
Accepted 23 July 2009
| The first 150 words of the full text of this article appear below. |
I appreciate Peteiro and Bouzas-Mosquera’s comments1 on our review of the role of cardiac imaging in the emergency department (ED).2
I agree that in experienced hands exercise echocardiography (echo) and exercise radionuclide myocardial perfusion imaging (MPI) have equivalent diagnostic value. Accordingly, we indicated in the diagram in figure 2 that stress cardiac imaging might consist of either stress MPI or stress echo. I agree that in the "key points" I should have listed exercise echo as one of the modalities to be used once acute coronary syndrome has been excluded.
I believe though that there is a place for exercise ECG in the evaluation of patients in an ED chest pain centre (CPC). The typical patient in a CPC has a low probability of CAD. These patients with complaints of chest pain have been observed for a number of hours, are stable, had several negative sets of biomarkers and
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- Chest pain in the emergency department: role of cardiac imaging
- J Peteiro and A Bouzas-Mosquera
Heart 2009 95: 1802.[Extract] [Full Text] [PDF]
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