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Tag: HEART Score

The Real-World Calculation of the HEART Score

Background: Not a single clinical shift passes without evaluation of at least one patient with chest pain. This chief complaint accounts for 6.5 million visits per year and is the second most common presenting symptom to the emergency department (ED).1 …

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Cardiovascular

High Sensitivity Cardiac Troponin T in a Multisite United States Cohort

Introduction: Chest pain is a common reason or presentation to the Emergency Department (ED). Emergency physicians are often challenged to identify patients who are at high risk for an acute coronary syndrome (ACS), from those with low risk, who might …

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Cardiovascular

The REBEL at Essentials of Emergency Medicine 2019 – Day 1

  Essentials of Emergency Medicine 2019 is taking place at the Cosmopolitan Hotel/Casino in Las Vegas, NV. I was asked to give five lectures on varying topics and wanted to share what I discussed at each of these sessions.  If …

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CardiovascularInfectious Disease

Are we Missing Acute MIs with Clinical Risk Scores?

Background: In 2011, we saw 7 million patients in the emergency department (ED) complaining of chest pain. Most of these patients did NOT have an acute coronary syndrome (ACS) or an acute myocardial infarction (AMI). Missing an AMI is one of …

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Cardiovascular

Management and Disposition of Low Risk Chest Pain

Chest Pain (CP) is a very common complaint seen in emergency departments around the world.  In the US specifically  anywhere from 8 – 10 million patients present to the ED complaining of CP.  Many use liberal testing strategies to prevent …

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Cardiovascular

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