Cardiology
RSSArticles
-
Internal Medicine Alert - Full October 15, 2013 Issue in PDF
-
ECG Review: The Cause of T Wave Inversion?
-
Pharmacology Watch: Evidence-based updates in clinical pharmacology
Medications for Risk Reduction of Breast Cancer in Women -
Emergency Medicine Reports - Full August 25, 2013 Issue in PDF
-
Evaluation of Acute Chest Pain: An Update on Potential Future Options
High-sensitivity cardiac troponin (hs-cTn) assays have higher sensitivity for myocardial ischemic injury and necrosis than conventional assays, but with reduced specificity. An hs-cTn level below the detectable limit is very accurate at excluding AMI in an ED patient with chest pain. The precision of hs-cTn assays enables serial sampling of cardiac biomarkers to exclude AMI to be done over 1-2 hours as opposed to 3-9 hours for conventional cTn assays. A normal coronary CT angiography (CCTA) (< 50% stenosis in any epicardial coronary artery) performed in an ED patient with chest pain is associated with a good 30-day outcome. Use of CCTA in ED patients with chest pain is associated with reduced length of stay, admissions, and overall costs compared to typical care that often involves myocardial perfusion imaging. CCTA is associated with a small but consistent increase in invasive coronary angiograms and reperfusion procedures compared to typical care that often involved myocardial perfusion imaging. -
Value of Cardiology Follow-up of Acute Chest Pain Patients
Patients seen in emergency departments (ED) for acute chest pain who are deemed low risk for acute coronary syndrome (ACS) and relatively safe for discharge are often referred to their primary care physician (PCP) for follow-up. -
An Opportunity to Make a Difference
The majority of patients with advanced cancer have decisional capacity at the time of their terminal hospitalization but lose that capacity before having an end-of-life discussion. -
ECG Review: WCT in a Renal Patient
The ECG shown above was obtained from an acutely ill but alert and hemodynamically stable patient. How certain are you that the rhythm is ventricular tachycardia (VT)? Might there be another explanation if the patient in question was a young adult with renal disease and diabetes? -
Uncomplicated Pure Cellulitis: No Need to Cover for MRSA?
Uncomplicated cellulitis, defined as cellulitis without abscess, is most often caused by streptococci. -
Hospital Medicine Alert - Full July 2013 Issue in PDF