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Incremental Diagnostic and Prognostic Value of Contemporary Stress Echocardiography in a Chest Pain Unit
Mortality and Morbidity Outcomes From a Real-World Setting
- Benoy N. Shah, BSc, MBBS, MRCP*,
- Gothandaraman Balaji, MBBS, MRCP*,
- Abdalla Alhajiri, MB, MRCP, MSc,
- Ihab S. Ramzy, MD, PhD,
- Shahram Ahmadvazir, MD, MRCP and
- Roxy Senior, MD, DM, FRCP, FESC
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The 30-day readmission rate was 0.5%. During long-term follow-up of 27±11 months, 39 hard events (30 deaths and 9 acute myocardial infarctions) occurred. Kaplan-Meier estimates of hard events were 0.5% versus 6.6% in the normal versus abnormal SE groups, respectively, in the first year of follow-up
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Conclusions—SE incorporated into a chest pain unit has excellent feasibility and provides rapid assessment and discharge with accurate risk stratification of patients with suspected acute coronary syndrome but nondiagnostic ECG and negative 12-hour troponin.
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O exame de ecocardiograma com esforço em bicicleta horizontal é tão barato e eficiente que o dia que os convênios e o governo o descobrirem, vão torná-lo obrigatório até na Av. Dr. Enéas de Carvalho Aguiar!!!!
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