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Myocardial Contrast Echocardiography Versus Thrombolysis in Myocardial Infarction Score in Patients Presenting to the Emergency Department With Chest Pain and a Nondiagnostic Electrocardiogram

Khim Leng Tong, MD^_*, Sanjiv Kaul, MD, FACC^_*, Xin-Qun Wang, MS, Diana Rinkevich, MD, FACC^_*, Saul Kalvaitis, MD^_*, Todd Belcik, RDCS^_*, Wolfgang Lepper, MD^_*, William A. Foster, MD^_* and Kevin Wei, MD, FACC^_*,_*

^_* Cardiovascular Imaging Center, Cardiovascular Division, University of Virginia School of Medicine, Charlottesville, Virginia
Division of Biostatistics and Epidemiology, Department of Health Evaluation Sciences, University of Virginia School of Medicine, Charlottesville, Virginia

View larger version (15K): [in a new window]   Figure 1 Ability of tests performed in a hierarchical order for predicting early events. See text for details. MP = myocardial perfusion; mTIMI = modified Thrombolysis In Myocardial Infarction; RF = regional function; TIMI = Thrombolysis In Myocardial Infarction. Open bars = mTIMI; gray bars = mTIMI + RF; black bars = mTIMI + RF + MP; ruled bars = TIMI.

View larger version (16K): [in a new window]   Figure 2 Ability of tests performed in a hierarchical order for predicting intermediate events. See text for details. Abbreviations as in Figure 1. Open bars = mTIMI; gray bars = mTIMI + RF; black bars = mTIMI + RF + MP; ruled bars = TIMI.

View larger version (14K): [in a new window]   Figure 3 Ability of tests performed in a hierarchical order for predicting late events. See text for details. Abbreviations as in Figure 1. Open bars = mTIMI; gray bars = mTIMI + RF; black bars = mTIMI + RF + MP; ruled bars = TIMI.

View larger version (12K): [in a new window]   Figure 4 Event-free survival in patients with a low-risk modified Thrombolysis In Myocardial Infarction score (0). MP = myocardial perfusion; RF = regional left ventricular function.

View larger version (14K): [in a new window]   Figure 5 Event-free survival in patients with an intermediate-risk modified Thrombolysis In Myocardial Infarction score (3 or 4). Abbreviations as in Figure 4.