ED stress testing, in addition to standard workup with ECG and biomarkers, led to more downstream testing (angiography) and more interventions (PCI or CABG), but this didn't translate into fewer acute myocardial infarctions at one year.

Noninvasive measurement of ejection fraction with an iPhone app is possible and very accurate.  When this becomes publicly available, it will be a game changer.

Learn the ECG patterns for posterior MI, left main disease, the ominous isolated T-wave inversion in aVL, large upright T-wave in V1, and Wellen's warning.  This full text article is mandatory reading.

History and exam features are not useless in the evaluation of patients with chest pain, but they must be used as part of a risk stratification strategy that includes ECG and troponin.

Non-invasive ventilation makes a big impact on patients with acute pulmonary edema - fewer need intubation, and it may reduce mortality.

T-MACS is a viable rule-out (or rule-in) option to aid clinical decision making in patients with chest pain using hs-TnT (now available in the US).

LVADs and other mechanical circulatory support devices are increasing used.  We need to know the basics of how they work and how to troubleshoot them.

Consider these best practices when implementing a high sensitivity troponin strategy to rule out MI.

The HEART score is one safe way to help risk stratify chest pain patients.

There was no long-term advantage at 10 years to an early invasive vs selective invasive strategy strategy for NSTEMI.