Search results for "Troponin"
Early CT coronary angiography does not appear warranted in suspected ACS
A randomized trial in the U.K. found that use of invasive angiography decreased and length of stay slightly increased in patients at intermediate risk for acute coronary syndrome (ACS) who had early CT coronary angiography, but management and one-year outcomes were not affected.
https://acphospitalist.acponline.org/weekly/archives/2021/10/06/2.htm
6 Oct 2021
Immediate angiography after cardiac arrest did not provide benefit in a trial
Thirty-day mortality was the same in patients resuscitated for out-of-hospital cardiac arrest without ST-segment elevation, regardless of whether they received immediate coronary angiography or initial intensive care with delayed or selective angiography.
https://acphospitalist.acponline.org/weekly/archives/2021/09/01/2.htm
1 Sep 2021
3-hour troponin level may help rule out NSTEMI in ED patients triaged to observation
A previously proposed cutoff for 3-hour change in high-sensitivity cardiac troponin T of 7 ng/L missed 66.7% of ED patients with non-ST-segment elevation myocardial infarction (NSTEMI), but a cutoff of 15 ng/L combined with a 0/3-hour absolute change of less than 4 ng/L missed less than 1%.
https://acphospitalist.acponline.org/weekly/archives/2021/08/18/3.htm
18 Aug 2021
Pandemic lessons, VTE prediction, and COVID-19 effects on other inpatients
One hospital reduced unnecessary labs during the pandemic, while another collected nine lessons to improve health care. Other recent studies looked at venous thromboembolism (VTE) in COVID-19 inpatients and mortality rates among patients hospitalized for other conditions during last year's surges.
https://acphospitalist.acponline.org/weekly/archives/2021/07/28/1.htm
28 Jul 2021
Ask Dr. Pinson
Get answers to questions about obesity, ultrasound guidance, and other coding conundrums.
https://acphospitalist.acponline.org/archives/2021/07/coding-corner-qa.htm
15 Jul 2021
Mechanism of pauses on telemetry
A patient presented with multiple episodes of transient unresponsiveness.
https://acphospitalist.acponline.org/archives/2021/07/brief-case-mechanism-of-pauses.htm
15 Jul 2021
High-sensitivity troponin reduced the cascade of cardio interventions after chest pain
An analysis of ED patients found an increase in repeat troponin testing and EKGs, but reductions in CT scans, stress tests, cardiology evaluations, and hospitalizations associated with implementation of high-sensitivity cardiac troponin testing.
https://acphospitalist.acponline.org/weekly/archives/2021/06/23/4.htm
23 Jun 2021
Take cardiac symptoms in women seriously
An expert reviewed conditions with different presentations or higher incidence in women.
https://acphospitalist.acponline.org/archives/2021/06/take-cardiac-symptoms-in-women-seriously.htm
15 Jun 2021
Elevated troponin I levels during sepsis may indicate risk for postsepsis CV complications
A U.S. retrospective study looked at rates of atherosclerotic disease, atrial fibrillation, and heart failure in the year after sepsis in patients with elevated troponin I levels and no previous diagnosis of cardiovascular (CV) disease.
https://acphospitalist.acponline.org/weekly/archives/2021/06/09/2.htm
9 Jun 2021
Adverse cardiac events rare in chest pain patients treated and discharged by ED
Among patients who presented to the ED with chest pain but were not diagnosed with myocardial infarction, risk of acute myocardial infarction, death, or coronary revascularization within 30 days did not appear to be affected by whether they were admitted, a retrospective study found.
https://acphospitalist.acponline.org/weekly/archives/2021/05/26/3.htm
26 May 2021