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Acute Coronary Syndrome
Physician-authored summaries on the latest research on acute coronary syndrome, editorials on acute coronary syndrome, and perspectives on acute coronary syndrome - drawn from the top medical journals.
You searched for: acute coronary syndrome Items 1 to 20 of 52 results
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Does Bedside Point-of-Care Testing for Cardiac Markers Reduce Length of Stay?
- September 14, 2005
- Richard D. Zane, MD, FAAEM
Cardiac biomarkers are widely used in risk stratification and disposition decision-making for emergency department patients with suspected acute coronary syndrome. The American College of Cardiology/American . . .- Covering:
- Singer AJ et al., Ann Emerg Med 2005 Jun; 45:587-91.
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Compliance with AHA Guidelines in NSTEMI Patients with Positive Troponins
- June 15, 2005
- Susan B. Promes, MD, FACEP
Patients with acute coronary syndrome (ACS) who present with positive troponin levels have higher mortality rates than patients who test negative at presentation and then . . .- Covering:
- Roe MT et al., Ann Emerg Med 2005 Apr; 45:355-62.
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Prehospital Aspirin for Acute Coronary Syndromes
- February 16, 2005
- Kristi L. Koenig, MD, FACEP
Aspirin reduces morbidity and mortality in patients with acute coronary syndrome and should be administered to all at-risk patients who do not have contraindications. To . . .- Covering:
- Quan D et al., Prehospital Disaster Med 2004 Oct/Dec; 19:362-5.
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Admitting ED Patients with Possible ACS: Cardiology or Other Services?
- May 9, 2008
- Richard D. Zane, MD, FAAEM
Use of guideline-recommended therapies was similar whether patients were on cardiology or other services.- Covering:
- Katz DA et al., Ann Emerg Med 2008 May; 51:561.
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Are Cardiac Risk Factors of Value in ED Diagnosis of ACS?Free!
- March 9, 2007
- Richard D. Zane, MD, FAAEM
Not in patients older than 40- Covering:
- Han JH et al., Ann Emerg Med 2007 Feb; 49:145-52.
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Predicting ACS in Patients with Troponin T ElevationsFree!
- March 9, 2007
- J. Stephen Bohan, MD, MS, FACP, FACEP
Clinical context is more important than troponin level when interpreting a positive test.- Covering:
- Alcalai R et al., Arch Intern Med 2007 Feb 12; 167:276-81.
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Nondiagnostic ECG During Symptoms Does Not Rule Out ACS
- December 22, 2006
- Diane M. Birnbaumer, MD, FACEP
Rates of ACS, AMI, and adverse outcomes were similar in patients with and without symptoms.- Covering:
- Chase M et al., Acad Emerg Med 2006 Oct; 13:1034-9.
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Trauma Team Activation: Are We Stealing from Peter to Pay Paul?
- December 8, 2006
- Richard D. Zane, MD, FAAEM
Patients with acute coronary syndromes who presented to an ED while the trauma team was activated had worse outcomes than those who presented at other times.- Covering:
- Fishman PE et al., Ann Emerg Med 2006 Oct; 48:347-53.
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Improvement in Adherence to Guidelines for Acute Coronary Syndrome
- November 17, 2006
- J. Stephen Bohan, MD, MS, FACP, FACEP
Still, most patients do not receive all recommended therapies.- Covering:
- Mehta RH et al., Arch Intern Med 2006 Oct 9; 166:2027-34.
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Will We Ever Feel Comfortable Sending Low-Risk Chest-Pain Patients Home from the ED?
- March 14, 2006
- Richard D. Zane, MD, FAAEM
A better clinical prediction rule would help.- Covering:
- Christenson J et al., Ann Emerg Med 2006 Jan; 47:1-10.
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Really, How Helpful Is the Chest Pain History?
- February 28, 2006
- John A. Marx, MD, FAAEM, FACEP
Elements of the chest pain history are not sufficient to allow discharge without further evaluation.- Covering:
- Swap CJ and Nagurney JT., JAMA 2005 Nov 23/30; 294:2623-9.
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Do Patients with ACS Fare Better at Hospitals with Catheterization Capability?
- April 27, 2005
- Kristi L. Koenig, MD, FACEP
Researchers analyzed data from the global registry of acute coronary events (GRACE) to determine the relation between access to primary percutaneous coronary intervention (PCI) or . . .- Covering:
- Van de Werf F et al., BMJ 2005 Feb 26; 330:441-4.
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Diabetes Increases Short-Term Mortality Risk in Patients with Acute Coronary Syndromes
- September 7, 2007
- John A. Marx, MD, FAAEM, FACEP
This is true for people with unstable angina, NSTEMI, and STEMI.- Covering:
- Donahoe SM et al., JAMA 2007 Aug 15; 298:765-75.
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Abciximab Before PCI Benefits Patients with NSTE ACS
- May 23, 2006
- John A. Marx, MD, FAAEM, FACEP
Benefits are confined to patients with elevated troponin levels.- Covering:
- Kastrati A et al., JAMA 2006 Apr 5; 295:1531-8.
- Steinhubl SR and Charnigo R., JAMA 2006 Apr 5; 295:1581-2.
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Anticoagulants in Acute Coronary Syndromes: More Progress
- May 9, 2006
- J. Stephen Bohan, MS, MD, FACP, FACEP
Two large studies show the benefits of newer agents.- Covering:
- The Fifth Organization to Assess Strategies in Acute Ischemic Syndromes Investigators., N Engl J Med 2006 Apr 6; 354:1464-76.
- Antman EM et al., N Engl J Med 2006 Apr 6; 354:1477-88.
- Gibbons RJ and Fuster V., N Engl J Med 2006 Apr 6; 354:1524-7.
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Overdosing of Antithrombotic Meds for Non-STE ACS Increases Bleeding and Death
- March 14, 2006
- John A. Marx, MD, FAAEM, FACEP
Dosing recommendations for these agents must be closely followed.- Covering:
- Alexander KP et al., JAMA 2005 Dec 28; 294:3108-16.
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SYNERGY Trial Outcomes at 6 and 12 Months
- February 28, 2006
- John A. Marx, MD, FAAEM, FACEP
Patients with non–ST-segment–elevation acute coronary syndromes remain at high risk for adverse events at 1 year, despite aggressive treatment.- Covering:
- Mahaffey KW et al., JAMA 2005 Nov 23/30; 294:2594-600.
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All Non–ST-Segment-Elevation Acute Coronary Syndromes to the Cath Lab? Maybe Not
- October 25, 2005
- J. Stephen Bohan, MD, MS, FACP, FACEP
Dutch researchers compared an early invasive strategy and a selectively invasive strategy in patients with non–ST-segment-elevation acute coronary syndromes (NSTE ACS) and elevated troponin T . . .- Covering:
- de Winter RJ et al., N Engl J Med 2005 Sep 15; 353:1095-104.
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Guidelines and Practice Diverge in Treatment of NSTE ACS -- No Surprise
- October 25, 2005
- J. Stephen Bohan, MD, MS, FACP, FACEP
Troponin elevation is associated with increased mortality in patients with non–ST-segment-elevation acute coronary syndromes (NSTE ACS). Using data from more than 23,000 patients in the . . .- Covering:
- Roe MT et al., Arch Intern Med 2005 Sep 12; 165:1870-6.
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Is Morphine Safe in Acute Coronary Syndromes?
- September 14, 2005
- James M. Christenson, MD, FRCPC
The safety and efficacy of morphine, which has been used for decades to relieve pain in patients with acute coronary syndromes, have never been assessed . . .- Covering:
- Meine TJ et al., Am Heart J 2005 Jun; 149:1043-9.
You searched for: acute coronary syndrome Items 1 to 20 of 52 results