다음과 같은 기능을 한번의 로그인으로 사용 할 수 있습니다.
NTIS 바로가기
Nuclear medicine communications, v.39 no.5, 2018년, pp.411 - 416
Lee, Jeong Won (Department of Nuclear Medicine, Catholic Kwandong University College of Medicine, International St. Mary’s Hospital, Incheon) , Lee, Se-Whan (Departments of Internal Medicine) , Chang, Sung-Hae (Departments of Internal Medicine) , Lee, Sang Mi (Nuclear Medicine, Soonchunhyang University Cheonan Hospital, Cheonan, Korea)
AI-Helper
Conclusion Bone scintigraphy was helpful for etiological diagnosis of atypical chest pain in 41.8% of patients. However, coronary heart disease should be considered in patients older than or equal to 60 years of age, even if patients showed abnormal findings on bone scintigraphy. Copyright (C) 2018 ...
OBJECTIVE: The purpose of the study is to evaluate the clinical usefulness of bone scintigraphy for etiological diagnosis of patients with atypical chest pain. PATIENTS AND METHODS: We retrospectively enrolled 225 patients with atypical chest pain who underwent bone scintigraphy for etiological diagnosis. No patients showed any symptoms or signs other than chest pain and had low-to-intermediate Framingham risk with insignificant findings on initial cardiac evaluation. They had no recent traumatic events or history of cerebrovascular and coronary heart diseases. The usefulness of bone scintigraphy for clinical diagnosis in enrolled patients was assessed and compared according to age (<60 vs. ≥60 years). RESULTS: Sixty-two (27.6%) patients were at intermediate Framingham risk and 100 (44.5%) patients were older than or equal to 60 years of age. Bone scintigraphy showed abnormal findings in 111 (49.4%) patients. Clinical diagnoses of chest pain were made in 163 (72.4%) patients. The remaining 62 (27.6%) patients were assessed as having unknown etiology. Bone scintigraphy was helpful for clinical diagnosis in 94 (41.8%) patients. Patients older than or equal to 60 years of age had significantly more frequent abnormal findings and post-traumatic changes on bone scintigraphy than patients younger than 60 years of age (P=0.010 for all). Of 111 patients with abnormal findings on bone scintigraphy, six (5.4%) were diagnosed with coronary heart disease; all of them were older than or equal to 60 years. CONCLUSION: Bone scintigraphy was helpful for etiological diagnosis of atypical chest pain in 41.8% of patients. However, coronary heart disease should be considered in patients older than or equal to 60 years of age, even if patients showed abnormal findings on bone scintigraphy.
Ann Transl Med Sanchis-Gomar 4 256 2016 10.21037/atm.2016.06.33 Epidemiology of coronary heart disease and acute coronary syndrome
Br J Gen Pract Blatchford 49 551 1999 Emergency medical admissions in Glasgow: general practices vary despite adjustment for age, sex, and deprivation
BMJ Capewell 320 951 2000 10.1136/bmj.320.7240.951 ‘Chest pain-please admit’: is there an alternative? A rapid cardiological assessment service may prevent unnecessary admissions
J R Soc Med Spalding 96 122 2003 10.1177/014107680309600305 Cause and outcome of atypical chest pain in patients admitted to hospital
QJM Chambers 91 239 1998 10.1093/qjmed/91.3.239 Atypical chest pain: looking beyond the heart
Aliment Pharmacol Ther Eslick 17 1115 2003 10.1046/j.1365-2036.2003.01557.x Non-cardiac chest pain: prevalence, risk factors, impact and consulting - a population-based study
Curr Probl Diagn Radiol Zhang 47 94 2017 10.1067/j.cpradiol.2017.05.011 Clinical and radiologic predictive factors of rib fractures in outpatients with chest pain
Ann Gastroenterol Karlaftis 26 314 2013 Clinical characteristics in patients with non-cardiac chest pain could favor gastroesophageal reflux disease diagnosis
Allergol Int Taniguchi 58 421 2009 10.2332/allergolint.08-OA-0084 Chest pain relieved with a bronchodilator or other asthma drugs
Heart Lung Circ Greenslade 26 1310 2017 10.1016/j.hlc.2017.01.001 Panic disorder in patients presenting to the emergency department with chest pain: prevalence and presenting symptoms
Curr Sports Med Rep Sik 8 52 2009 10.1249/JSR.0b013e31819c7d01 Atypical chest pain in athletes
Gen Hosp Psychiatry Tremblay 50 83 2017 10.1016/j.genhosppsych.2017.10.007 Heart-focused anxiety and health care seeking in patients with non-cardiac chest pain: a prospective study
Ann Nucl Med Koizumi 31 521 2017 10.1007/s12149-017-1175-2 Diagnostic performance of a computer-assisted diagnosis system for bone scintigraphy of newly developed skeletal metastasis in prostate cancer patients: search for low-sensitivity subgroups
Dentomaxillofac Radiol Lee 42 29292350 2013 10.1259/dmfr/29292350 Clinical utility of fluoride-18 positron emission tomography/CT in temporomandibular disorder with osteoarthritis: comparisons with 99mTc-MDP bone scan
Ulus Travma Derg Erhan 7 242 2001 The evaluation of diagnostic accordance between plain radiography and bone scintigraphy for the assessment of sternum and rib fractures in the early period of blunt trauma
J Craniofac Surg Zhao 27 745 2016 10.1097/SCS.0000000000002594 The value of radionuclide bone imaging in defining fresh fractures among osteoporotic vertebral compression fractures
Nucl Med Mol Imaging Han 51 49 2017 10.1007/s13139-016-0443-8 Risk stratification for avascular necrosis of the femoral head after internal fixation of femoral neck fractures by post-operative bone SPECT/CT
J Thorac Imaging Massie 8 137 1993 10.1097/00005382-199321000-00006 Bone scintigraphy and costochondritis
QJM Newby 91 333 1998 10.1093/qjmed/91.5.333 A ‘same day’ direct-access chest pain clinic: improved management and reduced hospitalization
Psychol Health Webster 29 1265 2014 10.1080/08870446.2014.923885 Illness representations, psychological distress and non-cardiac chest pain in patients attending an emergency department
Psychol Health Hadlandsmyth 28 849 2013 10.1080/08870446.2012.762100 Health care utilisation in patients with non-cardiac chest pain: a longitudinal analysis of chest pain, anxiety and interoceptive fear
Gastroenterol Clin North Am Faybush 33 41 2004 10.1016/S0889-8553(03)00131-6 Gastroesophageal reflux disease in noncardiac chest pain
Mayo Clin Proc Hanak 80 879 2005 10.4065/80.7.879 Cough-induced rib fractures
BMJ Case Rep Abrahamsen 2014 bcr2014206683 2014 10.1136/bcr-2014-206683 Atraumatic sternum fracture
Br J Rheumatol Patel 30 418 1991 10.1093/rheumatology/30.6.418 Clinical profile of acute vertebral compression fractures in osteoporosis
Int J Clin Oncol Kamba 22 166 2017 10.1007/s10147-016-1037-2 A phase III multicenter, randomized, controlled study of combined androgen blockade with versus without zoledronic acid in prostate cancer patients with metastatic bone disease: results of the ZAPCA trial
Clin Cardiol McCullough 21 22 1998 10.1002/clc.4960210105 Costs and outcomes of patients admitted with chest pain and essentially normal electrocardiograms
Clin Cardiol Caceres 18 563 1995 10.1002/clc.4960181006 Myocardial infarction with an initially normal electrocardiogram - angiographic findings
Korean J Intern Med Lee 32 469 2017 10.3904/kjim.2015.123 Fragmented QRS and abnormal creatine kinase-MB are predictors of coronary artery disease in patients with angina and normal electrocardiographys
JAMA Welch 286 1977 2001 10.1001/jama.286.16.1977 Prognostic value of a normal or nonspecific initial electrocardiogram in acute myocardial infarction
Copyright KISTI. All Rights Reserved.
※ AI-Helper는 부적절한 답변을 할 수 있습니다.