2020
Comparison Between Anatomical and Functional Imaging Modalities for Evaluation of Chest Pain in the Emergency Department
Kargoli F, Levsky J, Bulcha N, Mustehsan M, Brown-Manhertz D, Furlani A, Polanco D, Mizrachi S, Makkiya M, Golive A, Haramati L, Taub C, Garcia M. Comparison Between Anatomical and Functional Imaging Modalities for Evaluation of Chest Pain in the Emergency Department. The American Journal Of Cardiology 2020, 125: 1809-1814. PMID: 32345475, DOI: 10.1016/j.amjcard.2020.03.024.Peer-Reviewed Original ResearchConceptsMyocardial perfusion imagingStress echocardiographyEmergency departmentChest painRehospitalization ratesCoronary angiographyLeast intermediate riskNegative initial troponinUrban ED settingDiagnostic coronary angiographyRetrospective cohort studyHospital emergency departmentUrban hospital emergency departmentFunctional imaging modalitiesCCTA groupInitial troponinED dischargeCohort studyIntermediate riskSecondary outcomesNondiagnostic electrocardiogramPrimary outcomeED settingTomography angiographyClinical utility
2015
Coronary Computed Tomography Angiography Versus Radionuclide Myocardial Perfusion Imaging in Patients With Chest Pain Admitted to Telemetry: A Randomized Trial.
Levsky J, Spevack D, Travin M, Menegus M, Huang P, Clark E, Kim C, Hirschhorn E, Freeman K, Tobin J, Haramati L. Coronary Computed Tomography Angiography Versus Radionuclide Myocardial Perfusion Imaging in Patients With Chest Pain Admitted to Telemetry: A Randomized Trial. Annals Of Internal Medicine 2015, 163: 174-83. PMID: 26052677, PMCID: PMC4703121, DOI: 10.7326/m14-2948.Peer-Reviewed Original ResearchMeSH KeywordsCardiac CatheterizationChest PainComparative Effectiveness ResearchCoronary AngiographyCoronary Artery DiseaseFemaleFollow-Up StudiesHealth ResourcesHospital UnitsHumansLength of StayMaleMiddle AgedMyocardial Perfusion ImagingMyocardial RevascularizationPatient SatisfactionProspective StudiesRadiation DosageTelemetryTomography, X-Ray ComputedConceptsMyocardial perfusion imagingCCTA groupMPI groupCardiovascular eventsChest painCardiac catheterizationPrimary outcomeRadiation exposurePatient experienceStress myocardial perfusion imagingInner-city medical centerNonfatal cardiovascular eventsOutpatient cardiology visitsAcute chest painMajor cardiovascular eventsIntermediate-term outcomesEmergency department visitsCoronary artery diseaseComparative effectiveness trialIncidence of deathLength of stayAmerican Heart AssociationClinical management decisionsRadionuclide myocardial perfusionLess radiation exposure
2013
Rationale and Design of a Randomized Trial Comparing Initial Stress Echocardiography versus Coronary CT Angiography in Low‐to‐Intermediate Risk Emergency Department Patients with Chest Pain
Levsky J, Haramati L, Taub C, Spevack D, Menegus M, Travin M, Vega S, Lerer R, Brown‐Manhertz D, Hirschhorn E, Tobin J, Garcia M. Rationale and Design of a Randomized Trial Comparing Initial Stress Echocardiography versus Coronary CT Angiography in Low‐to‐Intermediate Risk Emergency Department Patients with Chest Pain. Echocardiography 2013, 31: 744-750. PMID: 24372760, DOI: 10.1111/echo.12464.Peer-Reviewed Original ResearchMeSH KeywordsAdultAged, 80 and overCausalityChest PainComorbidityCoronary AngiographyCoronary Artery DiseaseEchocardiographyEmergency Service, HospitalExercise TestFemaleHealth Care CostsHospitalizationHumansIncidenceMaleMiddle AgedNew YorkResearch DesignRisk AssessmentTomography, X-Ray ComputedYoung AdultConceptsTreadmill stress echocardiographyStress echocardiographyEmergency departmentComparative effectiveness researchChest painED chest pain patientsMajor adverse cardiovascular eventsRisk Emergency Department PatientsSignificant coronary artery diseaseED/hospitalAcute chest painAdverse cardiovascular eventsIncidence of hospitalizationChest pain patientsCoronary artery diseaseEmergency department patientsImaging modalitiesLength of stayCoronary CT angiographyDecrease healthcare expendituresNoninvasive diagnostic algorithmCost of careNoninvasive imaging modalityCardiovascular eventsObservational registryPreliminary development of a clinical decision rule for acute aortic syndromes
Lovy A, Bellin E, Levsky J, Esses D, Haramati L. Preliminary development of a clinical decision rule for acute aortic syndromes. The American Journal Of Emergency Medicine 2013, 31: 1546-1550. PMID: 24055476, PMCID: PMC4275798, DOI: 10.1016/j.ajem.2013.06.005.Peer-Reviewed Original ResearchConceptsAcute aortic syndromeClinical decision ruleAcute chest painAbnormal chest radiographAortic syndromeChest painEmergency departmentChest radiographsRetrospective case-control reviewLow-risk patientsCase-control reviewNegative predictive valueAtherosclerotic ulcerIntramural hematomaOngoing painED presentationsAortic dissectionRisk factorsCT usageInclusion criteriaCT angiographyLower riskDiagnostic criteriaPatientsPrior trauma
2012
ACR Appropriateness Criteria® Acute Chest Pain—Suspected Pulmonary Embolism
Bettmann M, Baginski S, White R, Woodard P, Abbara S, Atalay M, Dorbala S, Haramati L, Hendel R, Martin E, Ryan T, Steiner R. ACR Appropriateness Criteria® Acute Chest Pain—Suspected Pulmonary Embolism. Journal Of Thoracic Imaging 2012, 27: w28-w31. PMID: 22343403, DOI: 10.1097/rti.0b013e31823efeb6.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsConceptsPulmonary embolismAppropriateness CriteriaClinical conditionsDiagnosis of PEDiagnostic imagingAppropriateness of imagingAcute chest painACR Appropriateness CriteriaDeep vein thrombosisTomography pulmonary angiographyLower extremity ultrasoundMultidisciplinary expert panelRadiology Appropriateness CriteriaEvidence-based guidelinesD-dimer testSpecific clinical conditionsHigh pretest probabilityCurrent medical literatureImportant clinical conditionBasis of signsMajor diagnostic modalityChest painPeer-reviewed journalsVein thrombosisClinical status
2011
ACR Appropriateness Criteria® Chronic Chest Pain—High Probability of Coronary Artery Disease
Earls J, White R, Woodard P, Abbara S, Atalay M, Carr J, Haramati L, Hendel R, Ho V, Hoffman U, Khan A, Mammen L, Martin E, Rozenshtein A, Ryan T, Schoepf J, Steiner R, White C. ACR Appropriateness Criteria® Chronic Chest Pain—High Probability of Coronary Artery Disease. Journal Of The American College Of Radiology 2011, 8: 679-686. PMID: 21962781, DOI: 10.1016/j.jacr.2011.06.022.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsMeSH KeywordsChest PainChronic DiseaseCoronary Artery DiseaseDiagnosis, DifferentialDiagnostic ImagingEchocardiography, StressEvidence-Based MedicineFemaleHumansMagnetic Resonance AngiographyMalePositron-Emission TomographyPractice Guidelines as TopicRadiation ProtectionReproducibility of ResultsRisk AssessmentSocieties, MedicalTomography, Emission-Computed, Single-PhotonTomography, X-Ray ComputedConceptsACR Appropriateness CriteriaCoronary artery diseaseArtery diseaseAppropriateness CriteriaMyocardial ischemiaChronic chest painMultidetector cardiac CTAppropriateness of imagingObstructive coronary lesionsSingle-photon emission CTLong-term prognosisIschemic heart diseaseMultidisciplinary expert panelEvidence-based guidelinesConventional coronary angiographyChronic myocardial ischemiaSpecific clinical conditionsCurrent medical literaturePhoton emission CTChest painPeer-reviewed journalsAngina pectorisCoronary angiographyMedical therapyCoronary lesions
2010
Imaging of Pulmonary Infarction
Latson L, Godelman A, Haramati L. Imaging of Pulmonary Infarction. Clinical Pulmonary Medicine 2010, 17: 282-289. DOI: 10.1097/cpm.0b013e3181fa14d2.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsPulmonary infarctionDual blood supplyPulmonary embolismPulmonary hemorrhageBlood supplyPleuritic chest painUnsuspected pulmonary embolismWedge-shaped opacityAcute pulmonary embolismChest radiographic findingsComputed tomography findingsHampton's HumpPeripheral opacitiesChest painTomography findingsCommon complicationParenchymal injuryParenchymal opacitiesSignificant morbidityMultiple imaging modalitiesRadiographic findingsLung parenchymaCorrect diagnosisInfarctionEnlarged vessels
2009
Rationale and design of a randomized controlled trial comparing stress myocardial perfusion imaging with coronary CT angiography as the initial imaging study for intermediate-risk patients admitted with chest pain
Levsky J, Travin M, Spevack D, Menegus M, Huang P, Goldberg Y, Clark E, Banoth P, Freeman K, Tobin J, Haramati L. Rationale and design of a randomized controlled trial comparing stress myocardial perfusion imaging with coronary CT angiography as the initial imaging study for intermediate-risk patients admitted with chest pain. Journal Of Cardiovascular Computed Tomography 2009, 3: 264-271. PMID: 19577217, DOI: 10.1016/j.jcct.2009.05.006.Peer-Reviewed Original ResearchConceptsCoronary artery diseaseMyocardial perfusion imagingIntermediate-risk patientsChest painMajor adverse cardiovascular eventsRadionuclide myocardial perfusion imagingIntermediate-risk characteristicsSubsequent coronary revascularizationAdverse cardiovascular eventsEvaluation of patientsStress myocardial perfusionAcute myocardial infarctionClinical outcome endpointsInitial imaging studyNoninvasive cardiac imagingCoronary CT angiographyEvidence-based medicineTerms of outcomesCardiovascular eventsCoronary revascularizationHospital stayRenal dysfunctionSubsequent hospitalizationSecondary outcomesArtery disease
2006
Pulmonary Infarction
He H, Stein M, Zalta B, Haramati L. Pulmonary Infarction. Journal Of Thoracic Imaging 2006, 21: 1-7. PMID: 16538148, DOI: 10.1097/01.rti.0000187433.06762.fb.Peer-Reviewed Original ResearchConceptsPercent of patientsPleuritic chest painPulmonary infarctionPulmonary embolismDual blood supplyChest painCT findingsIschemic injuryParenchymal opacitiesBlood supplyExtent of PEClinical symptoms/signsAcute pulmonary embolismPulmonary vascular obstructionSymptoms/signsClot burdenPeripheral opacitiesConsecutive adultsHeart failureLower lobeMean ageVascular obstructionClinical correlatesImaging featuresFocal decrease