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March 19, 2003

Sestamibi Imaging to Triage Patients With Acute Chest Pain

Author Affiliations

Letters Section Editor: Stephen J. Lurie, MD, PhD, Senior Editor.

JAMA. 2003;289(11):1381-1382. doi:10.1001/jama.289.11.1381-a

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.

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