Predischarge coronary angiography was better than exercise testing for reducing hospital use after low-risk chest pain
Year: 2002
Type: article
Abstract: (2001) J Am Coll Cardiol 37, 2042. deFilippi CR, Rosanio S, Tocchi M . , et al. . Randomized comparison of a strategy of predischarge coronary angiography versus exercise testing in low-risk patients in a chest pain unit: in-hospital and long-term outcomes. . Jun 15; . : . –9 . [OpenUrl][1][CrossRef][2][PubMed][3][Web of Science][4] QUESTION: In low-risk patients evaluated for chest pain, does a strategy of predischarge coronary angiography (CA) reduce repeated visits and admissions to the emergency department (ED) more than a strategy of predischarge exercise treadmill testing (ETT)? Randomised {allocation concealed*}†, {unblinded}†* controlled trial with a median of 375 days of follow up. A chest pain unit at the University of Texas Medical Branch at Galveston, Texas, USA. 248 patients 20 to 65 years of age with a ≤ 7% probability of acute myocardial infarction (MI) according to the Goldman algorithm, an absence of electrocardiographic and biochemical markers for ischaemia or infarction, an ability to exercise, and no previous coronary artery disease (CAD). Exclusion criteria were a previous CA or ETT or electrocardiogram confounders for ETT interpretation. 96% of patients completed follow up. 123 patients were allocated to CA done with a standard femoral … [1]: {openurl}?query=rft.jtitle%253DJournal%2Bof%2Bthe%2BAmerican%2BCollege%2Bof%2BCardiology%26rft.stitle%253DJ%2BAm%2BColl%2BCardiol%26rft.issn%253D0735-1097%26rft.aulast%253DdeFilippi%26rft.auinit1%253DC.%2BR.%26rft.volume%253D37%26rft.issue%253D8%26rft.spage%253D2042%26rft.epage%253D2049%26rft.atitle%253DRandomized%2Bcomparison%2Bof%2Ba%2Bstrategy%2Bof%2Bpredischarge%2Bcoronary%2Bangiography%2Bversus%2Bexercise%2Btesting%2Bin%2Blow-risk%2Bpatients%2Bin%2Ba%2Bchest%2Bpain%2Bunit%253A%2Bin-hospital%2Band%2Blong-term%2Boutcomes%26rft_id%253Dinfo%253Adoi%252F10.1016%252FS0735-1097%252801%252901300-6%26rft_id%253Dinfo%253Apmid%252F11419885%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx [2]: /lookup/external-ref?access_num=10.1016/S0735-1097(01)01300-6&link_type=DOI [3]: /lookup/external-ref?access_num=11419885&link_type=MED&atom=%2Febmed%2F7%2F1%2F14.atom [4]: /lookup/external-ref?access_num=000169268300007&link_type=ISI
Source: BMJ Evidence-Based Medicine
DOI: 10.1136/ebm.7.1.14
Author: P. C Wyer
Institution: Columbia University
Language: English
Subfield: Radiology, Nuclear Medicine and Imaging
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W2109947511