REVIEW OF THE LITERATURE Cardiovascular disease in the literature: A selection of recent original research papers a,b c Fadi G. Hage, MD, FASNC, and Wael AlJaroudi, MD Division of Cardiovascular Disease, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL Section of Cardiology, Birmingham Veterans Affairs Medical Center, Birmingham, AL Division of Cardiovascular Medicine, Clemenceau Medical Center, Beirut, Lebanon Received May 16, 2017; accepted May 16, 2017 doi:10.1007/s12350-017-0927-7 Comparison of the Efﬁcacy and Safety of Early Rule- subsequent events. The High-STEACS pathway had a Out Pathways for Acute Myocardial Infarction. higher negative predictive value (99.5% vs 97.9%, Circulation. 2017;135:1586-1596. P\ 0.001) and sensitivity (97.7% vs 89.3%) compared to the ESC pathway. The ESC pathway also missed all Background: Guidelines from the European Soci- events missed by the High-STEACS pathway. ety of Cardiology (ESC) support early testing with high- Signiﬁcance: This proposed High-STEACS path- sensitivity troponin in patients presenting with chest way using high-sensitivity troponin misses less patients pain to the emergency department. Chapman et al. from with MI than the pathway adopted by the ESC guideli- the Royal Inﬁrmary of Edinburgh, United Kingdom, nes and has an improved negative predictive value. This compared two pathways that utilize high-sensitivity
Journal of Nuclear Cardiology – Springer Journals
Published: May 25, 2017
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