Archive for category: Cardiovascular

The HEART Score: A New ED Chest Pain Risk Stratification Score

10 Jan
January 10, 2014

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketChest pain is a common presentation complaint to the emergency department (ED) and has a wide range of etiologies including urgent diagnoses (i.e. acute coronary syndrome (ACS), pulmonary embolism, aortic dissection) and non-urgent diagnoses (i.e. musculoskeletal pain, gastroesophageal reflux disease (GERD), pericarditis). The challenge in the ED is to […]

Modified Sgarbossa Criteria: Ready for Primetime?

03 Dec
December 3, 2013

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketThe recognition of ST-segment elevation myocardial infarction (STEMI) in the presence of left bundle-branch block (LBBB) remains difficult and frustrating to both emergency medicine physicians and cardiologists. ¬†According to the 2004 STEMI guidelines, emergent reperfusion therapy was recommended to patients with suspected ischemia and new LBBB however, the new […]

Chest Pain: What is the Value of a Good History?

01 Nov
November 1, 2013

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketEvery year there are 6 million visits to the Emergency Department (ED) for chest pain, and approximately 2 million hospital admissions each year. ¬†This is approximately about 10% of ED visits and 25% of hospital admissions with 85% of these admissions receiving a diagnosis of a non-ischemic etiology to […]

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