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Evaluation of Chest Pain in the Emergency Department
- University of Michigan Medical Center, Ann Arbor, MI 48109-0028. William Beaumont Hospital, Royal Oak, MI 48073. Emory University, Atlanta, GA 30333. American College of Emergency Physicians, Dallas, TX 75261. University of Cincinnati Medical Center, Cincinnati, OH 45267. San Luis Medical Clinic, Ltd., San Luis Obispo, CA 93401. George Washington University, Washington, DC 20037. State University of New York at Syracuse, Syracuse, NY 13210. Anderson Area Medical Center, Anderson, SC 29621. University of Virginia School of Medicine, Charlotesville, VA 22908.
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IN RESPONSE:
We are bemused by the number and wide range of responses generated by our editorial. At one end of the spectrum is the letter from Dr. Weissman and colleagues, who state that one of the approaches we suggested has “indeed improved efficiency and reduced cost” at the William Beaumont Hospital in Royal Oak, Michigan. They state that the use of single-photon emission computed tomographic imaging with Tc-99m sestamibi has changed the management decision in two thirds of their patients with unexplained chest pain. No patient discharged on the basis of the results of this imaging study, had an adverse cardiac event on follow-up. The cost savings was $1771 per patient, and 69 hospital …
