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
2018
Coronary Computed Tomography Angiography Versus Stress Echocardiography in Acute Chest Pain A Randomized Controlled Trial
Levsky J, Haramati L, Spevack D, Menegus M, Chen T, Mizrachi S, Brown-Manhertz D, Selesny S, Lerer R, White D, Tobin J, Taub C, Garcia M. Coronary Computed Tomography Angiography Versus Stress Echocardiography in Acute Chest Pain A Randomized Controlled Trial. JACC Cardiovascular Imaging 2018, 11: 1288-1297. PMID: 29909113, DOI: 10.1016/j.jcmg.2018.03.024.Peer-Reviewed Original ResearchMeSH KeywordsAdultAngina PectorisClinical Decision-MakingComparative Effectiveness ResearchComputed Tomography AngiographyCoronary AngiographyCoronary Artery DiseaseEchocardiography, StressEmergency Service, HospitalFemaleHumansLength of StayMaleMiddle AgedMultidetector Computed TomographyPatient AdmissionPatient SelectionPredictive Value of TestsRadiation DosageRadiation ExposureTreatment OutcomeTriageConceptsCoronary CTACardiovascular eventsHospital lengthAcute chest pain patientsMajor adverse cardiovascular eventsRadiation exposureMedian hospital lengthAdverse cardiovascular eventsMedian ED lengthChest pain patientsCoronary artery diseaseEmergency department useSerum troponin levelsChest pain triageCTA patientsPrimary endpointSafety endpointSecondary endpointsPatient ageTroponin levelsArtery diseaseED lengthPain patientsSE patientsStress echocardiography
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 registry