Utility and diagnostic accuracy of hand-carried ultrasound for emergency room evaluation of chest pain.
Atar S, Feldman A, Darawshe A, Siegel RJ, Rosenfeld T.
Department of Cardiology, Ha'Emek Medical Center, Afula, Israel. atar_sh@clalit.org.il
This study examined the utility and accuracy of immediate hand-carried echocardiography in patients presenting to the emergency room with chest pain and a normal or nondiagnostic electrocardiogram. Hand-carried echocardiography was highly concordant (kappa = 0.8) with troponin T tests as well as the discharge diagnosis of acute coronary syndrome, had a 100% sensitivity for the detection of acute coronary syndrome, 93% specificity, and 71% and 100% positive and negative predictive values, respectively.
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PMID: 15276122 [PubMed - indexed for MEDLINE]