Divided HEART – EM and Cardiology Disagree
Emergency Physicians' HEART score calculations and those of cardiology were not the same. EM scored the history as suspicious more often.
Bolus Nitroglycerin for CHF
This study suggests that in hypertensive patients with acute decompensated heart failure and shortness of breath, bolus IV NTG 1 or 2 mg was safe and reduced ICU admission and length of stay.
Chest Pain Scores Compete Head-to-Head
Unstructured physician gestalt of "low risk" or a TIMI score of zero and 2 negative standard troponin assays resulted in zero patients with missed AMI during the index visit to the ED for chest pain.
Why We Use the Sgarbossa Rule in LBBB
Sgarbossa criteria can help interpret the ECG for STEMI in the setting of LBBB. Subsequent modifications make it even more accurate.
Warning Symptoms Precede Sudden Cardiac Arrest
Patients with sudden cardiac arrest often had symptoms of chest pain or dyspnea in the 24 hours prior to arrest.
Why We Use BNP Plus Clinical Judgment
Acutely dyspneic patients in the ED can be more accurately diagnosed by adding BNP to clinical judgment.
Why the HEART Score is Used in Low Risk Chest Pain
Patients with a HEART score of 0-3 were very low risk for MACE (1.7%) and may be considered safe for early ED discharge.
Why Transfer for PCI Beats On-Site tPA
DANAMI-2 showed that if door to needle time was <120 minutes, transfer for PCI was superior to on-site fibrinolysis for acute MI.
A-fib in Sepsis Increases Mortality
New a-fib is associated with increased mortality in sepsis patients. These patients may benefit from restoration of normal sinus rhythm.
Teen Cancer Means Early Heart Disease
If a young person presents with chest pain and has had prior treatment for cancer, his or her risk of cardiac disease is far greater than the baseline population.