Search results for "Troponin"
New score developed to improve risk stratification in type 2 myocardial infarction
The T2-risk score incorporates age, ischemic heart disease, heart failure, diabetes, myocardial ischemia on electrocardiogram, heart rate, anemia, estimated glomerular filtration rate, and maximal cardiac troponin concentration.
https://acphospitalist.acponline.org/archives/2023/01/18/new-score-developed-to-improve-risk-stratification-in-type-2-myocardial-infarction.htm
18 Jan 2023
AHA issues scientific statement on ACS in older patients
The American Heart Association (AHA) provided recommended strategies for managing acute coronary syndrome (ACS) in patients ages 75 years and older.
https://acphospitalist.acponline.org/archives/2022/12/21/free/aha-issues-scientific-statement-on-acs-in-older-patients.htm
21 Dec 2022
ACC pathway offers guidance on managing patients presenting to the ED with chest pain
The American College of Cardiology (ACC) assessed the available clinical decision pathways for chest pain and advised on the use of high-sensitivity cardiac troponin to avoid unnecessary testing in patients at low risk for acute coronary syndrome.
https://acphospitalist.acponline.org/archives/2022/10/19/free/acc-pathway-offers-guidance-on-managing-patients-presenting-to-the-ed-with-chest-pain.htm
19 Oct 2022
Sumatriptan-induced polymorphic ventricular tachycardia
A patient with atypical chest pain and negative stress tests suddenly became pulseless.
https://acphospitalist.acponline.org/archives/2022/09/28/free/brief-case-sumatriptan-induced-polymorphic-ventricular-tachycardia.htm
28 Sep 2022
Pneumocystis pneumonia in an HIV-negative patient
A patient with primary hyperparathyroidism, rheumatoid arthritis, and inclusion-body myositis presented with fatigue, nausea, and vomiting.
https://acphospitalist.acponline.org/archives/2022/06/15/free/brief-case-pneumocystis-pneumonia-in-an-hiv-negative-patient.htm
15 Jun 2022
Study finds higher thresholds of troponin I associated with death after cardiac surgery
The troponin level one day after surgery associated with higher risk for death at 30 days was 218 times the upper reference limit (URL) after isolated coronary artery bypass grafting or aortic valve replacement or repair and 499 times the URL after other cardiac surgery.
https://acphospitalist.acponline.org/archives/2022/03/09/study-finds-higher-thresholds-of-troponin-I-associated-with-death-after-cardiac-surgery.htm
9 Mar 2022
Diagnosing pulmonary embolism
Experts offer advice on how to apply the wide variety of available validated scores and algorithms, but also clinical judgment, to find pulmonary embolisms without excessive testing.
https://acphospitalist.acponline.org/archives/2022/02/23/free/diagnosing-pulmonary-embolism.htm
23 Feb 2022
One- and two-hour chest pain triage algorithms better than older three-hour one
The European Society of Cardiology's 0/1-hour and 0/2-hour algorithms for triage of suspected acute myocardial infarction had higher sensitivity and negative predictive value than the society's 0/3-hour algorithm, according to a new meta-analysis.
https://acphospitalist.acponline.org/weekly/archives/2021/11/24/1.htm
24 Nov 2021
Nontraumatic myocardial injury
Myocardial injury is a relatively new term, necessary to know for documentation.
https://acphospitalist.acponline.org/archives/2021/11/coding-corner-myocardial-injury.htm
15 Nov 2021
Cardiac societies release guideline on evaluation, diagnosis of chest pain
The recommendations from the American Heart Association and the American College of Cardiology, with support from other societies, provide algorithms for assessing and diagnosing chest pain in adults and offer 10 take-home points, including on use of testing and imaging.
https://acphospitalist.acponline.org/weekly/archives/2021/11/10/3.htm
10 Nov 2021