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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
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.