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- W2068064793 abstract "Cardiovascular disease is not only the leading cause of morbidity and mortality in Western nations, it is the leading cause of health care expenditures. It is estimated that the cost of the diagnosis and treatment of cardiovascular disease and stroke will exceed $431 billion in 2007 (1). Cost related to cardiovascular disease is multifactorial with a large component related to the expense of diagnosis. Accurate, rapid diagnosis of cardiac disease is essential for the appropriate triaging and treatment of patients with coronary artery disease. Clearly, patients with acute coronary syndromes or active infarction require immediate medical support and revascularization. These patients typically do not present a diagnostic dilemma and have characteristic symptoms of chest pain or pressure radiating to the left arm or jaw, diaphoresis, nausea, dizziness and anxiety. ECG changes of ST-segment elevation and elevated serum troponin or creatine kinase muscle-brain type (CK-MB) are demonstrated in these patients. Patients presenting in this manner should be transported emergently to the angiography suite for prompt diagnosis and treatment of obstructive coronary disease. Patients with atypical presentations or low-intermediate suspicion for coronary disease pose more of a diagnostic dilemma. It is in this patient population that non-invasive cardiac imaging plays a key role in diagnosis and triage. Evaluation of these patients includes clinical history and physical examination, ECG findings, serial enzyme laboratory investigations and some form of non-invasive imaging (2). This may take the form of exercise stress test-" @default.
- W2068064793 created "2016-06-24" @default.
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- W2068064793 date "2007-03-01" @default.
- W2068064793 modified "2023-09-25" @default.
- W2068064793 title "How Do You Mend A Broken Heart? First You Diagnose It!" @default.
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- W2068064793 doi "https://doi.org/10.1016/j.acra.2007.01.018" @default.
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