Accuracy of Emergency Physicians for Detection of Regional Wall Motion Abnormalities in Patients With Chest Pain Without ST-Elevation Myocardial Infarction
Journal of Ultrasound in Medicine, cilt.40, sa.7, ss.1335-1342, 2021 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 40 Sayı: 7
- Basım Tarihi: 2021
- Doi Numarası: 10.1002/jum.15513
- Dergi Adı: Journal of Ultrasound in Medicine
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Biotechnology Research Abstracts, CAB Abstracts, CINAHL, Compendex, EMBASE, MEDLINE, Veterinary Science Database
- Sayfa Sayıları: ss.1335-1342
- Anahtar Kelimeler: chest pain, echocardiography, emergency department, focused cardiac ultrasound, non-ST-elevation myocardial infarction
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objectives: Our aim was to evaluate the accuracy of emergency physicians (EPs) in the detection of regional wall motion abnormalities (RWMAs) using focused cardiac ultrasound (FOCUS) in patients suspected of non–having ST-elevation myocardial infarction. Methods: We prospectively enrolled patients with chest pain. Three EPs underwent didactics and hands-on-training, of 3 hours each, by an experienced cardiologist, on detecting RWMAs using 2-dimensional echocardiography. They performed a FOCUS examination to evaluate for RWMAs and recorded the echo images. Our reference standard for the detection of RWMAs was accepted as a blinded cardiologist review of the prerecorded video clips. We calculated the corrected sample size and inter-rater agreement between the EPs (82 and 0.83, respectively). The analysis of the study was performed on 89 patients. Results: Eighty-nine patients with chest pain were screened. Emergency physicians demonstrated the detection of RWMAs with good sensitivity and even excellent specificity: 76.9% (95% confidence interval [CI], 56.4%– 91.0%) and 92.1% (95% CI, 82.4%–97.4%), respectively. The accuracy of FOCUS was 87.6% (95% CI, 79.0%–93.7%). The area under the curve from a receiver operating characteristic curve analysis, which evaluated the EPs' rate of detecting the presence or absence of RWMAs, was 0.845 (95% CI, 0.753–0.913). Conclusions: Our study results suggest that EPs with training in bedside echocardiography can accurately rule in patients with RWMAs in suspected non–ST-elevation myocardial infarction cases.