Archive

Medical Category: Cardiovascular

Morphine Associated with Mortality in Acute Decompensated Heart Failure

Background: Intravenous morphine use has been reported in nearly one of seven patients hospitalized with acute decompensated heart failure (ADHF). I have anecdotally, even seen physicians giving morphine as a “first-line” agent: Nitroglycerine, Non-Invasive Positive Pressure Ventilation (NIPPV), and Morphine. ...

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Cardiovascular

Low Risk Chest Pain and Clinically Relevant Adverse Cardiac Events (CRACE)

Background: In 2010, 5.4% of all emergency department (ED) visits in the United States were for chest pain. Admission or observation of such patients cost about $11 billion dollars in the United States in 2006. The majority of these admissions ...

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Cardiovascular

Cardiogenic Shock

Author’s Note: This post is one of the first written for a new site sponsored by the NYU/Bellevue Emergency Department called Core EM. This is a FOAM site dedicated to core content Emergency Medicine featuring a blog, podcast and procedure video ...

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Cardiovascular

Is it Time to Start Using the HEART Pathway in the Emergency Department?

There are approximately 8 to 10 million patients complaining of chest pain coming to Emergency Departments (EDs) in the United States annually. In the US, we use a very liberal testing strategy in order to avoid acute coronary syndrome (ACS) ...

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Cardiovascular

Accelerated Diagnostic Protocol for Chest Pain Not Useful in a US Population?

There are approximately 8 to 10 million patients coming to Emergency Departments (EDs) in the United States annually. In the US, we use a very liberal testing strategy in order to avoid acute coronary syndrome (ACS) in patients presenting with ...

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Cardiovascular
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