quarta-feira, setembro 19, 2012

Eco 24 h no coronariopata. Contiscan!

Aqui o link
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Evaluation of Non-ST Segment Elevation Acute Chest Pain Syndromes with a Novel Low-Profile Continuous Imaging Ultrasound Transducer
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 Results: Twenty-four patients had regional wall motion abnormalities (RWMA) on their initial echo which were unchanged during the period of monitoring. All had evidence of CAD. Twenty-eight patients had transient RWMA. All had evidence of CAD. Eighteen patients had normal wall motion throughout the monitoring period, 14 of these had no evidence of CAD, and four had evidence of CAD. These four patients did not have chest pain during monitoring. The sensitivity, specificity, and accuracy of echocardiographic monitoring for diagnosing non-ST elevation myocardial infarction was 88%, 100%, and 91% respectively. The sensitivity, specificity, and accuracy of the ECG for diagnosis of CAD were 31%, 100%, and 52%, respectively. Echocardiography was superior to ECG (P < 0.001). 
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Conclusions: The data indicate that continuous cardiac imaging is superior to ECG monitoring for the diagnosis of CAD in patients presenting with acute non-ST segment elevation chest pain syndromes. This technique could be a useful adjunct to ECG monitoring for myocardial ischemia in the acute care setting
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Por essas e outras que a Ecocardiografia é o máximo.
Superior a qualquer trambolho magnético ou radioativo!
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Colado no peito, fazendo Eco 24h e gravando digitalmente.(Veja aqui)
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Simples, barato e eficiente.
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Um comentário:

  1. Calma. A conclusão é que o eco foi melhor apenas que o ecg. O pcte ficou internado 24hs. Talvez uma angioTC na entrada fosse mais custo efetiva e resolutiva

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