Acute coronary syndrome without critical epicardial coronary disease: prevalence, characteristics, and outcome Marc-Alexander Ohlow, Vincent Wong, Michele Brunelli, Hubertus von Korn, Ahmed Farah, Nedim Memisevic, Stefan Richter, Ketevan Tukhiashvili, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2014.10.048
The American Journal of Emergency Medicine , Vol. 33 , Issue 2 ,
Published online: November 8 2014
x Absence of significant epicardial coronary artery stenosis in patients with acute onset of chest pain and elevation of myocardial necrosis markers is occasionally observed. The aim of this study was to retrospectively analyze the clinical characteristics and the outcome of such patients.
Anomalous origins of coronary arteries: frequency and association with coronary disease Diego Conde
DOI: http://dx.doi.org/10.1016/j.ajem.2013.06.045
The American Journal of Emergency Medicine , Vol. 31 , Issue 10 ,
Published online: August 2 2013
x Most coronary artery anomalies are discovered accidentally during coronary angiography or autopsy [1-4]. As coronary angiography is routinely used to evaluate coronary morphology for diagnostic and treatment of coronary disease, it is important to be aware of these anatomical variants. In the present study, we examined the overall frequency in an Argentinean population and described the different forms of anomalous aortic origins of coronary arteries and the association with the coronary arteriosclerosis disease in the anomalous coronary arteries.
Short- and long-term cardiac events in patients with chest pain with or without known existing coronary disease presenting normal electrocardiogram Alberto Conti, Claudio Poggioni, Gabriele Viviani, Margherita Luzzi, Sonia Vicidomini, Maurizio Zanobetti, Francesca Innocenti, Riccardo Pini, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2012.01.022
The American Journal of Emergency Medicine , Vol. 30 , Issue 9 ,
Published online: March 19 2012
x The aim of this study is to evaluate incidence of adverse cardiac events in patients with chest pain with or without known existing coronary disease presenting normal electrocardiogram (ECG) and initial troponin.
Copeptin and high-sensitivity cardiac troponin to exclude severe coronary stenosis in patients with chest pain and coronary artery disease Florence Leclercq, Anais Iemmi, Nils Kusters, Benoit Lattuca, Guillaume Cayla, Jean-Christophe Macia, Francois Roubille, Mariama Akodad, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2015.12.017
The American Journal of Emergency Medicine , Vol. 34 , Issue 3 ,
Published online: December 14 2015
x The purpose was to evaluate the incremental value of copeptin associated with high-sensitivity cardiac T troponin (hs-cTnT) to exclude severe coronary stenosis in patients with coronary artery disease (CAD) and acute chest pain.
Cardiac risk factors and risk scores vs cardiac computed tomography angiography: a prospective cohort study for triage of ED patients with acute chest pain Ethan J. Halpern, Jacob P. Deutsch, Maria M. Hannaway, Adrian T. Estepa, Anand S. Kenia, Kenneth J. Neuburger, David C. Levin
DOI: http://dx.doi.org/10.1016/j.ajem.2013.08.001
The American Journal of Emergency Medicine , Vol. 31 , Issue 10 ,
Published online: September 12 2013
x The objective of the study is to evaluate cardiac risk factors and risk scores for prediction of coronary artery disease (CAD) and adverse outcomes in an emergency department (ED) population judged to be at low to intermediate risk for acute coronary syndrome.
Paraoxanase as an indicator of myocardial ischemia and its utility in determining extension of ischemia Ali Kemal Erenler, Ramazan Kocabaş, Tolga Doğan, Hacı Kemal Erdemli, Mücahit Yetim
DOI: http://dx.doi.org/10.1016/j.ajem.2015.09.008
The American Journal of Emergency Medicine , Vol. 34 , Issue 1 ,
Published online: September 19 2015
x The aim of this study was to investigate Paraoxanase 1 (PON-1) activity in patients with ST-elevated and non–ST-elevated acute myocardial infarction (AMI) and to determine its correlation with Gensini scores (GSs).
Coronary atherosclerosis and adverse outcomes in patients with recent-onset atrial fibrillation and troponin rise Alberto Conti, Elena Angeli, Margherita Scorpiniti, Andrea Alesi, Federica Trausi, Delia Lazzeretti, Luigi Padeletti, Gian Franco Gensini
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.013
The American Journal of Emergency Medicine , Vol. 33 , Issue 10 ,
Published online: July 16 2015
x The relationship between troponin and atrial fibrillation (AF) without acute coronary syndrome is still unclear. We sought to investigate the presence of coronary atherosclerosis and adverse outcomes in patients with AF.
Brain natriuretic peptide: the reason of respiratory distress is heart disease or lung disease? Taylan Sahingozlu, Ulaş Karadas, Kayi Eliacik, Ali Rahmi Bakiler, Nihal Ozdemir Karadas, Muhammed Ali Kanik, Masaallah Baran
DOI: http://dx.doi.org/10.1016/j.ajem.2015.02.005
The American Journal of Emergency Medicine , Vol. 33 , Issue 5 ,
Published online: February 5 2015
x The aim of this study was to determine whether plasma levels of amino-terminal brain natriuretic peptide (BNP) could differentiate between heart failure and lung disease among infants with acute bronchiolitis.
Risk scores prognostic implementation in patients with chest pain and nondiagnostic electrocardiograms Alberto Conti, Claudio Poggioni, Gabriele Viviani, Yuri Mariannini, Margherita Luzzi, Gabriele Cerini, Erica Canuti, Maurizio Zanobetti, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2012.01.028
The American Journal of Emergency Medicine , Vol. 30 , Issue 9 ,
Published online: March 30 2012
x Several risk scores are available for prognostic purpose in patients presenting with chest pain.
Predictive accuracy of ST depression during rapid atrial fibrillation on the presence of obstructive coronary artery disease Rajesh Pradhan, Ashok Chaudhary, Anthony A. Donato
DOI: http://dx.doi.org/10.1016/j.ajem.2011.06.027
The American Journal of Emergency Medicine , Vol. 30 , Issue 7 ,
Published online: August 22 2011
x Rapid atrial fibrillation (AF) is commonly associated with ST-segment depressions. ST-segment depression during a chest pain episode or exercise stress testing in sinus rhythm is predictive of obstructive coronary artery disease (CAD), but it is unclear if the presence or magnitude of ST-segment depression during rapid AF has similar predictive accuracy.
Subject Index
DOI: http://dx.doi.org/10.1016/S0735-6757(15)00997-3
The American Journal of Emergency Medicine , Vol. 33 , Issue 12 ,
Published in issue: December 2015
Stress echocardiography in the ED: diagnostic performance in high-risk subgroups Francesca Innocenti, Delia Lazzeretti, Alberto Conti, Maurizio Zanobetti, Sonia Vicidomini, Riccardo Pini
DOI: http://dx.doi.org/10.1016/j.ajem.2013.05.006
The American Journal of Emergency Medicine , Vol. 31 , Issue 9 ,
Published online: July 3 2013
x To assess stress-echo (SE) diagnostic performance in patients presenting to the emergency department (ED) with spontaneous chest pain, especially in subgroups in which exercise ECG diagnostic performance has been questioned (women, elderly, history of coronary artery disease).
Interaction of the diabetes mellitus and cardiac diseases on survival outcomes in out-of-hospital cardiac arrest Dayea Beatrice Jang, Sang Do Shin, Young Sun Ro, Kyoung Jun Song, Ki Ok Ahn, Seung Sik Hwang, Young Taek Kim, Sung Ok Hong, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2015.12.076
The American Journal of Emergency Medicine , Vol. 34 , Issue 4 ,
Published online: December 29 2015
x Diabetes mellitus (DM) and cardiac disease (CD) both likely effect out-of-hospital cardiac arrest (OHCA) survival, but the effect of their relationship on survival outcomes is unclear. This study aims to investigate whether the association of DM and OHCA outcomes differ in patients with and without CD.
Long-term prognostic value of stress echocardiography in patients presenting to the ED with spontaneous chest pain Francesca Innocenti, Prospero Cerabona, Chiara Donnini, Alberto Conti, Maurizio Zanobetti, Riccardo Pini
DOI: http://dx.doi.org/10.1016/j.ajem.2014.03.026
The American Journal of Emergency Medicine , Vol. 32 , Issue 7 ,
Published online: March 28 2014
x The aims of this study were to evaluate the long-term prognostic value of stress echocardiography (SE) in patients evaluated in emergency department (ED) and to determine SE parameters that best predicted outcome.
Implications of 25% to 50% coronary stenosis with cardiac computed tomographic angiography in ED patients Chadwick D. Miller, Harold I. Litt, Kim Askew, Daniel Entrikin, J. Jeffrey Carr, Anna Marie Chang, Jane Kilkenny, Benjamin Weisenthal, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2011.02.015
The American Journal of Emergency Medicine , Vol. 30 , Issue 4 ,
Published online: April 29 2011
x The aim of this study was to determine if patients presenting with symptoms of acute coronary syndrome and found to have 25% to 50% diameter reduction with coronary computed tomographic angiography (CCTA) are likely to benefit from further diagnostic testing.
Subject Index
DOI: http://dx.doi.org/10.1016/S0735-6757(12)00518-9
The American Journal of Emergency Medicine , Vol. 30 , Issue 9 ,
Published in issue: November 2012
Prospective validation of Thrombolysis in Myocardial Infarction and front door Thrombolysis in Myocardial Infarction risk scores in Chinese patients presenting to the ED with chest pain Colin A. Graham, Jannet W.M. Chan, Cangel P.Y. Chan, Giles N. Cattermole, Timothy H. Rainer
DOI: http://dx.doi.org/10.1016/j.ajem.2014.08.032
The American Journal of Emergency Medicine , Vol. 32 , Issue 11 ,
Published online: August 22 2014
x Chest pain is a common complaint among emergency department (ED) patients. The Thrombolysis in Myocardial Infarction (TIMI) and front door TIMI (FDTIMI) scores are used to risk stratify chest pain patients in many Western countries; they have not been validated in patients with undifferentiated chest pain in Asia. Our objective was to establish the relationship between the TIMI and FDTIMI scores and the 30 day rate of major adverse cardiac outcomes (MACE) in Chinese patients presenting to the ED with chest pain.
Fragmented QRS complexes have predictive value of imperfect ST-segment resolution in patients with STEMI after primary percutaneous coronary intervention Xianghong Ma, Wenting Duan, Pradeep Poudel, Junwei Ma, Deepak Sharma, Yanmin Xu
DOI: http://dx.doi.org/10.1016/j.ajem.2015.11.010
The American Journal of Emergency Medicine , Vol. 34 , Issue 3 ,
Published online: November 9 2015
Open Access x To investigate the clinical characteristics of patients with the fragmented QRS complexes (fQRS) and the predictive value of fQRS in patients undergoing primary percutaneous coronary intervention (p-PCI).
Implication of cardiac marker elevation in patients who resuscitated from out-of-hospital cardiac arrest Sang Hoon Oh, Young Min Kim, Han Joon Kim, Chun Song Youn, Seung Pill Choi, Jung Hee Wee, Soo Hyun Kim, Won Jung Jeong, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2010.12.022
The American Journal of Emergency Medicine , Vol. 30 , Issue 3 ,
Published online: February 7 2011
x It is often difficult to diagnose acute myocardial infarction (AMI) in patients who resuscitated after out-of-hospital cardiac arrest (OHCA) and had a delayed elevation in cardiac marker. This study explored whether elevations in cardiac marker were due to coronary artery occlusion or resulted from other causes.
Adding ivabradine may reduce elevated heart rate in acute patients when β blockers are ineffective Marcelo Trivi, Lujan Forti, Diego Conde, Mirta Diez
DOI: http://dx.doi.org/10.1016/j.ajem.2014.01.017
The American Journal of Emergency Medicine , Vol. 32 , Issue 5 ,
Published online: January 23 2014
x Elevated heart rate (HR), reflecting sympathetic hypertony, had been associated to reduced survival in several entities, mainly in heart failure (HF) and in coronary heart disease (CAD). To reduce HR, β blockers are the first option, but they have some limitations. Although β blockers may be used in a majority of the patients, target HR is infrequently achieved [1,2].
