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Table 3 Echocardiography findings and in-hospital interventions, NSTEMI/NoMI, median (range) (mean, SD)

From: Pre-hospital transthoracic echocardiography for early identification of non-ST-elevation myocardial infarction in patients with acute coronary syndrome

Final diagnosis

NSTEMI, n = 22

NoMI, n = 31

p

Pre-hospital TTE

   

Patients with/without RWMA (n)

20/2

0/31

 

Location of RWMA (multiple selections possible) (calculations refer to patients with pre-hospital diagnosis)

 RWMA septal (n (%))

1 (5)

0

-

 RWMA lateral (n (%))

10 (50)

0

-

 RWMA anterior (n (%))

5 (25)

0

-

 RWMA posterior (n (%))

14 (70)

0

-

 EF (%) pre-hospital

38.0 ± 11.7

52.0 ± 7.2

<0.001

In-hospital echocardiography

 EF (%) (calculations refer to patients with final diagnosis)

35.3 ± 20.3 (in 16 of 22)

49.9 ± 17.3 (in 15 of 31)

0.06

Immediate PCI (n (%))

10 (50%)

4 (12.9)

0.004

Sensitivity for correct diagnosis

90.9%

-

 

Selectivity for correct diagnosis

100%

-

 

Positive predictive value

100%

-

 

Negative predictive value

94%

-

 

Correlation between pre-hospital observed RWMA and perfusion area of affected coronary arteries determined in hospital

85.0%

-

 
  1. Ejection fraction (EF) <40% indicates poor outcome
  2. NSTEMI non-ST elevation myocardial infarction, NoMI no myocardial infarction, PCI percutanous coronary intervention, RWMA regional wall motion abnormalities, TTE transthoracic echocardiography