Author: Dr. Eric Moyer Background: It is often difficult to interpret high-sensitivity cardiac troponin values in patients with renal impairment given the reduced clearance by the kidneys. This study attempts…
Author: Dr. Hans Murcia Background: Early repolarization, also known as J-point elevation, may present with ST segment elevations similar to STEMI on ECG. Given the risks and expense of activating…
By Dr. Alexander Jay PGY2 Basics Atrial fibrillation is defined as an irregularly irregular rhythm, in which there are many irritable atrial foci firing all at once. Although many atrial…
Author: Dr. Tucker Matthews Background Lots of patients in the ED present after a syncopal episode, but we don’t do a good job of choosing which patients need further monitoring…
“Doctor, this patient’s blood pressure is 184/101, do you want to do anything about it?” 1 of every 3 adults in the United States has high blood pressure.1 Because of…
Intro We had an awesome lecture by Dr. K Gore this past week–this blog is a quick review of her lecture on aortic dissection. Background An aortic dissection (AD) is…
Author: Dr. Catherine Buckley
When I think of patients with valvular disease in the setting of the emergency department, it is frequently the acute on chronic picture. For instance: the Aortic stenosis patient with significant worsening of their fluid overload symptoms because of sepsis. What I typically don’t imagine is diagnosing or treating brand new valvular emergencies. Thank goodness for didactics! We are going to briefly review acute Mitral Regurgitation and acute Aortic regurgitation based on a wonderful talk given by Dr. Yelena Dukarevich.
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Author: Dr. Catherine Buckley
Alright. LVADs. First thing is first- use a lifeline and phone a friend. Call the patient’s VAD coordinator. Patient may have a card that they are able to give you… but if the patient is otherwise incapacitated, look for a tag on their controller.
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NSTEMI, STEMI, ACS
Author: Catherine Buckley MD There are about 8 – 10 million ED visits with the chief complaint of chest pain per year in the US. (Owens et al.)10 billion dollars…
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