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Accuracy of Emergency Physicians for Detection of Regional Wall Motion Abnormalities in Patients With Chest Pain Without ST‐Elevation Myocardial Infarction
Author(s) -
Sağlam Caner,
Ünlüer Erden Erol,
Yamanoğlu Nalan Gökçe Çelebi,
Kara Pınar Hanife,
Ediboğlu Emek,
Bektaşlı Rami,
Tandon Shikha,
Gönüllü Hayriye
Publication year - 2021
Publication title -
journal of ultrasound in medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.574
H-Index - 91
eISSN - 1550-9613
pISSN - 0278-4297
DOI - 10.1002/jum.15513
Subject(s) - medicine , chest pain , myocardial infarction , receiver operating characteristic , confidence interval , emergency department , cardiology , area under the curve , radiology , psychiatry
Objectives Our aim was to evaluate the accuracy of emergency physicians (EPs) in the detection of regional wall motion abnormalities (RWMAs) using focused cardiac ultrasound (FOCUS) in patients suspected of non–having ST‐elevation myocardial infarction. Methods We prospectively enrolled patients with chest pain. Three EPs underwent didactics and hands‐on‐training, of 3 hours each, by an experienced cardiologist, on detecting RWMAs using 2‐dimensional echocardiography. They performed a FOCUS examination to evaluate for RWMAs and recorded the echo images. Our reference standard for the detection of RWMAs was accepted as a blinded cardiologist review of the prerecorded video clips. We calculated the corrected sample size and inter‐rater agreement between the EPs (82 and 0.83, respectively). The analysis of the study was performed on 89 patients. Results Eighty‐nine patients with chest pain were screened. Emergency physicians demonstrated the detection of RWMAs with good sensitivity and even excellent specificity: 76.9% (95% confidence interval [CI], 56.4%– 91.0%) and 92.1% (95% CI, 82.4%–97.4%), respectively. The accuracy of FOCUS was 87.6% (95% CI, 79.0%–93.7%). The area under the curve from a receiver operating characteristic curve analysis, which evaluated the EPs' rate of detecting the presence or absence of RWMAs, was 0.845 (95% CI, 0.753–0.913). Conclusions Our study results suggest that EPs with training in bedside echocardiography can accurately rule in patients with RWMAs in suspected non–ST‐elevation myocardial infarction cases.