Search results for "Chest pain"
Acute chest pain in women vs. men treated differently across the care spectrum
A cohort study in Australia found that women with acute chest pain were less likely than men to receive guideline-directed care across most measures, including transport to the hospital, prehospital administration of aspirin or analgesia, and 12-lead electrocardiogram.
https://acphospitalist.acponline.org/archives/2023/03/08/free/acute-chest-pain-in-women-vs-men-treated-differently-across-the-care-spectrum.htm
8 Mar 2023
Pseudo-Wellens syndrome with Takotsubo cardiomyopathy
A patient was transferred for evaluation for non-ST-segment elevation myocardial infarction.
https://acphospitalist.acponline.org/archives/2023/01/18/free/brief-case-pseudo-wellens-syndrome-with-takotsubo-cardiomyopathy.htm
18 Jan 2023
AHA issues scientific statement on ACS in older patients
The American Heart Association (AHA) provided recommended strategies for managing acute coronary syndrome (ACS) in patients ages 75 years and older.
https://acphospitalist.acponline.org/archives/2022/12/21/free/aha-issues-scientific-statement-on-acs-in-older-patients.htm
21 Dec 2022
ACC pathway offers guidance on managing patients presenting to the ED with chest pain
The American College of Cardiology (ACC) assessed the available clinical decision pathways for chest pain and advised on the use of high-sensitivity cardiac troponin to avoid unnecessary testing in patients at low risk for acute coronary syndrome.
https://acphospitalist.acponline.org/archives/2022/10/19/free/acc-pathway-offers-guidance-on-managing-patients-presenting-to-the-ed-with-chest-pain.htm
19 Oct 2022
Sumatriptan-induced polymorphic ventricular tachycardia
A patient with atypical chest pain and negative stress tests suddenly became pulseless.
https://acphospitalist.acponline.org/archives/2022/09/28/free/brief-case-sumatriptan-induced-polymorphic-ventricular-tachycardia.htm
28 Sep 2022
Women less likely to get guideline-recommended care for MI with cardiogenic shock
The analysis of patients admitted with acute myocardial infarction (MI) with cardiogenic shock found higher rates of in-hospital mortality and major bleeding in women compared to men but no difference in mortality or heart failure hospitalizations at one year.
https://acphospitalist.acponline.org/archives/2022/03/23/women-less-likely-to-get-guideline-recommended-care-for-mi-with-cardiogenic-shock.htm
23 Mar 2022
Diagnosing pulmonary embolism
Experts offer advice on how to apply the wide variety of available validated scores and algorithms, but also clinical judgment, to find pulmonary embolisms without excessive testing.
https://acphospitalist.acponline.org/archives/2022/02/23/free/diagnosing-pulmonary-embolism.htm
23 Feb 2022
One- and two-hour chest pain triage algorithms better than older three-hour one
The European Society of Cardiology's 0/1-hour and 0/2-hour algorithms for triage of suspected acute myocardial infarction had higher sensitivity and negative predictive value than the society's 0/3-hour algorithm, according to a new meta-analysis.
https://acphospitalist.acponline.org/weekly/archives/2021/11/24/1.htm
24 Nov 2021
Cardiac societies release guideline on evaluation, diagnosis of chest pain
The recommendations from the American Heart Association and the American College of Cardiology, with support from other societies, provide algorithms for assessing and diagnosing chest pain in adults and offer 10 take-home points, including on use of testing and imaging.
https://acphospitalist.acponline.org/weekly/archives/2021/11/10/3.htm
10 Nov 2021
Early CT coronary angiography does not appear warranted in suspected ACS
A randomized trial in the U.K. found that use of invasive angiography decreased and length of stay slightly increased in patients at intermediate risk for acute coronary syndrome (ACS) who had early CT coronary angiography, but management and one-year outcomes were not affected.
https://acphospitalist.acponline.org/weekly/archives/2021/10/06/2.htm
6 Oct 2021