Letters Section Editor: Stephen J. Lurie, MD, PhD, Senior Editor.
To the Editor: Dr Udelson and colleagues1 reported that sestamibi perfusion imaging improved
triage decision making for patients in the emergency department (ED) with
symptoms suggestive of acute cardiac ischemia, but without obvious abnormalities
on initial electrocardiogram. I have 4 concerns about the consequences if
such a policy were to be widely adopted.
Perlmutter NS. Sestamibi Imaging to Triage Patients With Acute Chest Pain. JAMA. 2003;289(11):1381-1382. doi:10.1001/jama.289.11.1381-a