JJ 16 Heparin for ACS and STEMI
Does heparin - LMWH or unfractionated heparin - benefit the patient with a pretty good story for angina with a bump in their troponin and some ST depression in the...
Anton Helman |
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Can Emergency Physicians Use Clinical Gestalt to Predict Acute Coronary Syndrome?
Background: Chest pain is a common chief complaint the Emergency Department, and the differential diagnosis includes life-threatening conditions from several organ systems including cardiac, pulmonary, and gastrointestinal, in addition to...
Marco Torres |
-
ACS, Cardiology, CCTA, chest pain, delta troponin, Dr. Andrew McRae, Dr. Eddy Lang, EM Cases, Emergency Medicine, Episodes, HEART pathway, high sensitivity troponin, MACE, Medical Specialty
Ep 128 Low Risk Chest Pain and High Sensitivity Troponin – A Paradigm Shift
In the age of high sensitivity troponins and the HEART pathway, which patients are safe to discharge home from the ED? What are the most useful historical factors to increase...
Anton Helman |
-
ACS, Cardiology, CCTA, chest pain, delta troponin, Dr. Andrew McRae, Dr. Eddy Lang, EM Cases, Emergency Medicine, Episodes, HEART pathway, high sensitivity troponin, MACE, Medical Specialty
Ep 128 Low Risk Chest Pain and High Sensitivity Troponin – A Paradigm Shift
In the age of high sensitivity troponins and the HEART pathway, which patients are safe to discharge home from the ED? What are the most useful historical factors to increase...
Anton Helman |
-
More Trials Showing Harm of Opioids in ACS…or do They?
Background: Typical medical treatment of ACS patients include dual antiplatelet therapy (DAPT) and revascularization with primary percutaneous coronary intervention (PPCI). Nitroglycerin is first line therapy in the treatment of pain...
Marco Torres |
-
The Death of MONA in ACS: Part III – Nitroglycerin
Background: Nitroglycerin is a first line agent in the treatment of ACS. The physiologic basis for it’s use rests on it’s ability to promote coronary vasodilation resulting in increased blood...
Marco Torres |
-
The Death of MONA in ACS: Part II – Oxygen
Background: The first report for supplemental oxygen for angina was in 1900, and since then oxygen therapy has been a commonly used treatment of patients with ST-Elevation Myocardial Infarction (STEMI). ...
Marco Torres |
-
The Death of MONA in ACS: Part I – Morphine
Background: Morphine is a commonly used medication in acute coronary syndromes (ACS) to help relieve pain which in turn can help reduce sympathetic tone. Over the past few years however,...
Marco Torres |
-
The DETO2X Trial: Do Patients with AMI Need Supplemental O2?
Background: Each year approximately 790,000 Americans suffer an acute myocardial infarction (AMI) (Benjamin 2017). Traditional treatment for an acute myocardial infarction has included morphine, oxygen, nitroglycerine and aspirin (MONA) with...
Marco Torres |
-
Does My Patient with Chest Pain Have Acute Coronary Syndrome?
Background: We have already discussed the value of a good history in assessing patients with chest pain on REBEL EM. What is known about chest pain is that it is...
Marco Torres |
-
High Sensitivity Troponin Testing
Troponin testing is an important component of the diagnostic workup and management of acute coronary syndromes (ACS). The increasing sensitivity of troponin assays has lowered the number of potentially missed...
Marco Torres |
-
ACS, anticoagulants, biomarkers, Cardiology, clopidogrel, cocaine, EM Cases, Emergency Medicine, Episodes, Eric Letovsky, NSTEMI, PCI, Resuscitation, STEMI, troponin
Episode 15 Part 2: Acute Coronary Syndromes Management
In Part 2 of this Episode on Acute Coronary Syndromes Risk Stratification & Management, the evidence for various medications for ACS, from supplemental oxygen to thrombolytics are debated, and decision...
Anton Helman |
-
ACS, anticoagulants, biomarkers, Cardiology, clopidogrel, cocaine, EM Cases, Emergency Medicine, Episodes, Eric Letovsky, NSTEMI, PCI, Resuscitation, STEMI, troponin
Episode 15 Part 2: Acute Coronary Syndromes Management
In Part 2 of this Episode on Acute Coronary Syndromes Risk Stratification & Management, the evidence for various medications for ACS, from supplemental oxygen to thrombolytics are debated, and decision...
Anton Helman |