Search results for "Myocardial infarction"
3-hour troponin level may help rule out NSTEMI in ED patients triaged to observation
A previously proposed cutoff for 3-hour change in high-sensitivity cardiac troponin T of 7 ng/L missed 66.7% of ED patients with non-ST-segment elevation myocardial infarction (NSTEMI), but a cutoff of 15 ng/L combined with a 0/3-hour absolute change of less than 4 ng/L missed less than 1%.
https://acphospitalist.acponline.org/weekly/archives/2021/08/18/3.htm
18 Aug 2021
High-sensitivity troponin-based pathway safe, effective for chest pain patients without CAD
The American College of Cardiology expert consensus decision pathway for chest pain did not meet the criteria for safety among patients with known coronary artery disease (CAD), according to a study conducted in U.S. EDs.
https://acphospitalist.acponline.org/archives/2024/03/27/high-sensitivity-troponin-based-pathway-safe-effective-for-chest-pain-patients-without-cad.htm
27 Mar 2024
Studies look at gap between practice and optimal pharmacotherapy after MI
Patients who have had a myocardial infarction (MI) may benefit from lower doses of beta-blockers than those used in clinical trials, and mineralocorticoid receptor antagonists are often not prescribed as recommended.
https://acphospitalist.acponline.org/weekly/archives/2021/07/14/2.htm
14 Jul 2021
February 2007
ACP Hospitalist provides hospital-based physicians with news and information about the practice of hospital medicine.
https://acphospitalist.acponline.org/archives/2007/02/
October 25, 2023
ACP Hospitalist provides hospital-based physicians with news and information about the practice of hospital medicine.
https://acphospitalist.acponline.org/archives/2023/10/25/
Excess days in acute care may improve performance measurement for hospitals
A study found that replacing 30-day readmission rates with a measure of excess days in acute care would change about a quarter of penalties for targeted conditions under the Hospital Readmissions Reduction Program.
https://acphospitalist.acponline.org/weekly/archives/2020/10/21/4.htm
21 Oct 2020
New score developed to improve risk stratification in type 2 myocardial infarction
The T2-risk score incorporates age, ischemic heart disease, heart failure, diabetes, myocardial ischemia on electrocardiogram, heart rate, anemia, estimated glomerular filtration rate, and maximal cardiac troponin concentration.
https://acphospitalist.acponline.org/archives/2023/01/18/new-score-developed-to-improve-risk-stratification-in-type-2-myocardial-infarction.htm
18 Jan 2023
High-sensitivity cardiac troponin may be useful for early ruleout of MI
A Scottish study found that length of stay decreased and discharge rates increased when a high-sensitivity cardiac troponin I concentration below 5 ng/L at ED presentation was used to rule out myocardial infarction (MI), although the safety of this strategy could not be proven.
https://acphospitalist.acponline.org/weekly/archives/2021/03/31/3.htm
31 Mar 2021
American Heart Association issues scientific statement on cardiogenic shock in older adults
The statement provides suggestions for clinical practice, highlighting the crucial role of individualized risk assessment, an interdisciplinary approach, and patient-centered decision making in the management of cardiogenic shock among older adults.
https://acphospitalist.acponline.org/archives/2024/03/06/american-heart-association-issues-scientific-statement-on-cardiogenic-shock-in-older-adults.htm
6 Mar 2024
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