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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¿Pueden los médicos de urgencias utilizar la Gestalt clínica para predecir el síndrome coronario agudo?
Antecedentes: el dolor torácico es una queja principal común en el Departamento de Emergencias, y el diagnóstico diferencial incluye afecciones potencialmente mortales de varios sistemas de órganos, incluidos el cardíaco,...
Marco Torres |
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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 Dolor torácico de bajo riesgo y troponina de alta sensibilidad: un cambio de paradigma
En la era de las troponinas de alta sensibilidad y la vía del CORAZÓN, ¿qué pacientes pueden ser dados de alta de forma segura desde el servicio de urgencias? ¿Cuáles...
Anton Helman |
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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 |
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Más ensayos que muestran el daño de los opioides en el SCA... ¿o sí?
Antecedentes: el tratamiento médico típico de los pacientes con SCA incluye terapia antiplaquetaria dual (DAPT) y revascularización con intervención coronaria percutánea primaria (ICPP). La nitroglicerina es el tratamiento de primera...
Marco Torres |
-
La muerte de MONA en el SCA: Parte III – Nitroglicerina
Antecedentes: la nitroglicerina es un agente de primera línea en el tratamiento del SCA. La base fisiológica de su uso se basa en su capacidad para promover la vasodilatación coronaria,...
Marco Torres |
-
La muerte de MONA en ACS: Parte II – Oxígeno
Antecedentes: El primer informe sobre oxígeno suplementario para la angina fue en 1900, y desde entonces la oxigenoterapia ha sido un tratamiento comúnmente utilizado en pacientes con infarto de miocardio...
Marco Torres |
-
La muerte de MONA en ACS: Parte I – Morfina
Antecedentes: la morfina es un medicamento de uso común en los síndromes coronarios agudos (SCA) para ayudar a aliviar el dolor, lo que a su vez puede ayudar a reducir...
Marco Torres |
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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 |
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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 |
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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 |
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ACS, anticoagulants, biomarkers, Cardiology, clopidogrel, cocaine, EM Cases, Emergency Medicine, Episodes, Eric Letovsky, NSTEMI, PCI, Resuscitation, STEMI, troponin
Episodio 15 Parte 2: Manejo de los síndromes coronarios agudos
En la Parte 2 de este Episodio sobre Estratificación y manejo del riesgo de síndromes coronarios agudos, se debate la evidencia de diversos medicamentos para el SCA, desde oxígeno suplementario...
Anton Helman |