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European Heart Journal Advance Access published online on January 16, 2007
European Heart Journal, doi:10.1093/eurheartj/ehl432
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© The European Society of Cardiology 2007. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Better, (perhaps) cheaper, but is it best?

Zvi Vered*, Marina Leitman and Ricardo Krakover

Department of Cardiology, Assaf Harofeh Medical Center Zerifin and Sackler Faculty of Medicine, Tel Aviv University, Zerifin 70300, Israel

* Corresponding author. Tel: +972 89779735; fax: +972 89228141. E-mail address: zvi.vered@gmail.com

This editorial refers to ‘Clinical and economic impact of stress echocardiography compared with exercise electrocardiography in patients with suspected acute coronary syndrome but negative troponin: a prospective randomised controlled study’ by P. Jeetley et al., doi:10.1093/eurheartj/ehl444

The first 10% of the full text of this article appears below.

Patients presented at the emergency room with chest pain, non-characteristic ECG changes and negative Troponin represent a very frequent clinical dilemma. These patients are often hospitalized unnecessarily and frequently undergo non-invasive and even invasive investigations which turn out to be negative. Occasionally, they may falsely be discharged from the ER and eventually develop a major cardiac event. The most common and apparently the cheapest test employed in the evaluation of these patients is standard exercise ECG. Jeetley et al.1 prospectively studied a large group of such patients. The patients . . . [Full Text of this Article]


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