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Search for Acute Coronary Syndrome in Emergency Medicine
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.
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You searched for: acute coronary syndrome in Emergency Medicine
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When the Emergency Department Is Busier, Do Patients Suffer More Psychological Stress?
- March 1, 2013
- Daniel J. Pallin, MD, MPH
- Emergency Medicine
A small study suggests that heart attack patients may have more PTSD when admissions increase.- Reviewing:
- Edmondson D et al., JAMA Intern Med 2013 Feb 11;:
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Normal ECG During Chest Pain Does Not Rule Out ACS Free
- June 12, 2009
- Diane M. Birnbaumer, MD, FACEP
- Emergency Medicine
Among chest pain patients with normal initial ECGs, a similar percentage had acute coronary syndrome whether the ECG was performed when chest pain was present or absent.- Reviewing:
- Turnipseed SD et al., Acad Emerg Med 2009 Jun; 16:495.
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Admitting ED Patients with Possible ACS: Cardiology or Other Services?
- May 9, 2008
- Richard D. Zane, MD, FAAEM
- Emergency Medicine
Use of guideline-recommended therapies was similar whether patients were on cardiology or other services.- Reviewing:
- Katz DA et al., Ann Emerg Med 2008 May; 51:561.
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Predicting ACS in Patients with Troponin T Elevations Free
Clinical context is more important than troponin level when interpreting a positive test.- Reviewing:
- 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
- Emergency Medicine
Rates of ACS, AMI, and adverse outcomes were similar in patients with and without symptoms.- Reviewing:
- Chase M et al., Acad Emerg Med 2006 Oct; 13:1034-9.
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Do Patients with ACS Fare Better at Hospitals with Catheterization Capability?
- April 27, 2005
- Kristi L. Koenig, MD, FACEP
- Emergency Medicine
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 . . .- Reviewing:
- Van de Werf F et al., BMJ 2005 Feb 26; 330:441-4.
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Stress Testing Has Low Yield in Young Adults with Chest Pain
Observation and further testing yielded few abnormal test results, and most were false-positive.- Reviewing:
- Ely S et al., J Emerg Med 2013 Feb; 44:306.
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External Validation of the Vancouver Chest Pain Rule Free
- August 24, 2012
- Diane M. Birnbaumer, MD, FACEP
- Emergency Medicine
Sensitivity was high, but the rule missed 1.4 percent of patients with acute coronary syndrome events at 30 days.- Reviewing:
- Jalili M et al., Acad Emerg Med 2012 Jul; 19:837.
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Out-of-Hospital Glucose-Insulin-Potassium Reduces Composite of Cardiac Arrest and In-Hospital Mortality
- April 6, 2012
- John A. Marx, MD, FAAEM
- Emergency Medicine
Patients received intravenous solution a median of 90 minutes after onset of ischemic symptoms.- Reviewing:
- Selker HP et al., JAMA 2012 Mar 27;:
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New and Established Troponin Assays Are Highly Sensitive and Specific for AMI Free
- January 20, 2012
- John A. Marx, MD, FAAEM
- Emergency Medicine
Use of either type of assay can safely exclude or confirm AMI within 3 hours of emergency department admission.- Reviewing:
- Keller T et al., JAMA 2011 Dec 28; 306:2684.
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Many Patients Are Simultaneously Tested for Acute Coronary Syndrome, Pulmonary Embolism, and Aortic Dissection
- May 6, 2011
- Richard D. Zane, MD, FAAEM
- Emergency Medicine
Of emergency department patients who were evaluated for any of these three diseases, 22% were simultaneously tested for two diseases and 0.6% were tested for all three.- Reviewing:
- Rogg JG et al., J Emerg Med 2011 Feb; 40:128.
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BNP for Diagnosis and Management of Emergency Department Patients with Suspected Acute Coronary Syndrome?
- December 17, 2010
- Richard D. Zane, MD, FAAEM
- Emergency Medicine
A single B-type natriuretic peptide level obtained within 4 hours of presentation is not useful for identifying risk for acute myocardial infarction, revascularization, or death within 30 days.- Reviewing:
- Hubbard BL et al., Ann Emerg Med 2010 Nov; 56:472.
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Chest Pain Presentation Differs Between Women and Men
- October 15, 2010
- Kristi L. Koenig, MD, FACEP
- Emergency Medicine
Among patients who presented with a chief complaint of chest pain and had low-to-moderate risk for acute coronary syndrome, women were less likely than men to have significant coronary artery disease.- Reviewing:
- Hess EP et al., CJEM 2010 Sep; 12:405.
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Can Stress Cardiac Magnetic Resonance Imaging Save Money?
- October 8, 2010
- Richard D. Zane, MD, FAAEM
- Emergency Medicine
When it's part of an emergency department observation unit strategy it can, compared with inpatient care.- Reviewing:
- Miller CD et al., Ann Emerg Med 2010 Sep; 56:209.
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Management of Cocaine-Associated Chest Pain and MI Free
The most important differences from management of non–cocaine-associated chest pain and MI are use of benzodiazepines and avoidance of beta-blockers for patients with hypertension and tachycardia.- Reviewing:
- McCord J et al., Circulation 2008 Apr 8; 117:1897.
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Are Cardiac Risk Factors of Value in ED Diagnosis of ACS? Free
- March 9, 2007
- Richard D. Zane, MD, FAAEM
- Emergency Medicine
Not in patients older than 40- Reviewing:
- Han JH et al., Ann Emerg Med 2007 Feb; 49:145-52.
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Trauma Team Activation: Are We Stealing from Peter to Pay Paul?
- December 8, 2006
- Richard D. Zane, MD, FAAEM
- Emergency Medicine
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.- Reviewing:
- 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
- Emergency Medicine
Still, most patients do not receive all recommended therapies.- Reviewing:
- 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
- Emergency Medicine
A better clinical prediction rule would help.- Reviewing:
- 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
- Emergency Medicine
Elements of the chest pain history are not sufficient to allow discharge without further evaluation.- Reviewing:
- Swap CJ and Nagurney JT., JAMA 2005 Nov 23/30; 294:2623-9.
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