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- W2156975945 abstract "Patients presented at the emergency room with chest pain, non-characteristic ECG changes and negative Troponin represent a very frequent clinical dilemma. These patients are often hospitalized unnecessarily and frequently undergo non-invasive and even invasive investigations which turn out to be negative. Occasionally, they may falsely be discharged from the ER and eventually develop a major cardiac event. The most common and apparently the cheapest test employed in the evaluation of these patients is standard exercise ECG. Jeetley et al .1 prospectively studied a large group of such patients. The patients performed either exercise ECG or stress (exercise or dobutamine) echocardiography. Patients were then re-classified in terms of risk stratification and either admitted to the hospital/referred for further non-invasive and invasive procedures or discharged based on clinical assessment combined with the results of these tests and then followed for clinical events during 9 months. Cardiac catheterization was performed based on clinical grounds and only in those classified as high risk. The authors were able to show that a significantly larger number of patients could be classified as low risk and discharged from hospital … *Corresponding author. Tel: +972 89779735; fax: +972 89228141. E-mail address : zvi.vered{at}gmail.com" @default.
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- W2156975945 date "2006-06-07" @default.
- W2156975945 modified "2023-10-14" @default.
- W2156975945 title "Better, (perhaps) cheaper, but is it best?" @default.
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- W2156975945 doi "https://doi.org/10.1093/eurheartj/ehl432" @default.
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