Evidence map›Paper›PMID 30456219›Full record

ArticleEuropean journal of radiology open2018

Chest pain CT in the emergency department: Watch out for the myocardium.

Kai Higashigaito, Ricarda Hinzpeter, Stephan Baumueller, David Benz, Robert Manka, Dagmar I Keller, Hatem Alkadhi, Fabian Morsbach

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In one paragraph

Article in European journal of radiology open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Kai HigashigaitoInstitute of Diagnostic and Interventional Radiology, University Hospital Zurich, University of Zurich, Switzerland.
Ricarda HinzpeterInstitute of Diagnostic and Interventional Radiology, University Hospital Zurich, University of Zurich, Switzerland.
Stephan BaumuellerInstitute of Diagnostic and Interventional Radiology, University Hospital Zurich, University of Zurich, Switzerland.
David BenzInstitute of Diagnostic and Interventional Radiology, University Hospital Zurich, University of Zurich, Switzerland.
Robert MankaInstitute of Diagnostic and Interventional Radiology, University Hospital Zurich, University of Zurich, Switzerland.
Dagmar I KellerInstitute for Emergency Medicine, University Hospital Zurich, University of Zurich, Switzerland.
Hatem AlkadhiInstitute of Diagnostic and Interventional Radiology, University Hospital Zurich, University of Zurich, Switzerland.
Fabian MorsbachInstitute of Diagnostic and Interventional Radiology, University Hospital Zurich, University of Zurich, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

RATIONALE AND

objectivesTo evaluate the frequency and relevance of hypodense myocardium (HM) encountered in patients undergoing chest-pain CT in the emergency department (ED). MATERIAL AND

methodsIn this IRB-approved retrospective study, ECG-gated chest-pain CT examinations of 300 consecutive patients (mean age 60 ± 17 years) presenting with acute chest-pain to our ED were evaluated. Once ST-segment elevation infarction was excluded, chest-pain CT including the coronary arteries (rule-out acute coronary syndrome (ACS), pulmonary embolism (PE) and acute aortic syndrome (AAS): chest-pain CT

resultsHM was identified in 27/300 patients (9%): 12/179 in chest-pain CT

conclusionHM indicating acute MI are often encountered in chest pain CT in the ED, also in chest-pain CT

Indexed as

AAC/AHA, American College of Cardiology / American Heart AssociationAAS, acute aortic syndromeACS, acute coronary syndromeAcute chest painBPM, beats per minuteCAD, coronary artery diseaseCardiacCI, confidence intervalComputed tomographyCT, computed tomographyCX, circumflex arteryECG, electrocardiographyED, emergency departmentEmergency departmentHU, hounsfield unitICC, intraclass correlation coefficientsLAD, left anterior descending arteryMH, hypodense myocardiumMI, myocardial infarctionNPV, negative predictive valueNSTEMI, non-ST elevation myocardial infarctionPE, pulmonary embolismPPV, positive predictive valueRCA, right coronary arteryROI, region of interest

Identifiers

PMID30456219
PMCPMC6232643

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.