‘Chest Pain Typicality’ in Suspected Acute Coronary Syndromes and the Impact of Clinical Experience Edward W. Carlton, MBChB, Martin Than, MBBS, Louise.

Slides:

Advertisements

Similar presentations

Troponin By Julie Moore C Dt204/2.

Advertisements

Effectiveness of EDACS Versus ADAPT Accelerated Diagnostic Pathways for Chest Pain: A Pragmatic Randomized Controlled Trial Embedded Within Practice

Low-dose aspirin increases aspirin resistance in patients with coronary artery disease Pui-Yin Lee, MBBS, Wai-Hong Chen, MBBS, William Ng, MBBS, Xi Cheng,

Electrocardiographic Criteria for Detecting Acute Myocardial Infarction in Patients With Left Bundle Branch Block: A Meta-analysis Jeffrey A. Tabas,

The Epidemic of the 20th Century: Coronary Heart Disease

Effectiveness of EDACS Versus ADAPT Accelerated Diagnostic Pathways for Chest Pain: A Pragmatic Randomized Controlled Trial Embedded Within Practice

Incidence, Frequency, and Clinical Characteristics of Type 3 Myocardial Infarction in Clinical Practice Nikolaj Jangaard, MD, Laura Sarkisian, MD, Lotte.

Volume 98, Issue 5, Pages (November 1990)

Laszlo Littmann, MD, PhD The American Journal of Medicine

Ahmed Abuzaid, MD, Carly Fabrizio, DO, Kevin Felpel, MD, Haitham S

Carlos E. Rodriguez-Castro, MD, Ahmed Elfar, MD, Fernando P

Impact of More Restrictive Blood Transfusion Strategies on Clinical Outcomes: A Meta- analysis and Systematic Review Shelley R. Salpeter, MD, Jacob S.

Electrocardiographic Diagnosis of Right Ventricular Infarction by Proximal Occlusion of a Very Dominant Right Coronary Artery Javier García-Niebla, RN,

How Well Are Pulses Measured

Comparative Effectiveness Research and Medical Informatics

Identifying Patients Suitable for Discharge After a Single-Presentation High-Sensitivity Troponin Result: A Comparison of Five Established Risk Scores.

Recurrent infarction causes the most deaths following myocardial infarction with left ventricular dysfunction Stein Ørn, MD, John G.F. Cleland, MD, Matti.

Scientific and Organizational Collaboration in Comparative Effectiveness Research: The VA Cooperative Studies Program Model Grant D. Huang, MPH, PhD,

Early Invasive Versus Initial Conservative Strategies for Women with Non–ST-Elevation Acute Coronary Syndromes: A Nationwide Analysis Islam Y. Elgendy,

Matthew I. Worthley, MBBS, PhD, FRACP, Fiona M

Sudden Cardiac Death, Mitral Valve Prolapse, and Long QT Syndrome

Jason Thomas, MD, Erica Saenz, MD, Paul Haggerty, MD

Accuracy of a Diagnostic Algorithm to Diagnose Breakthrough Cancer Pain as Compared With Clinical Assessment Katherine Webber, MBBS, MSc, PhD, Andrew.

Eric L. Eisenstein, DBA, Darren K. McGuire, MD, MHS, Manjushri V

Wandering Acute Myocardial Infarction

Todd A. Lee, PharmD, PhD, Brian Bartle, MPH, Kevin B. Weiss, MD, MPH

The Value of Percutaneous Coronary Intervention in Aortic Valve Stenosis with Coronary Artery Disease Ronny Alcalai, MD, Nicola Viola, MD, Morris Mosseri,

Effect of Aspirin on Mortality in the Primary Prevention of Cardiovascular Disease Nina Raju, MD, MsC, Magdalena Sobieraj-Teague, MBBS, Jack Hirsh, MD,

ECG as an Entrustable Professional Activity: CDIM Survey Results, ECG Teaching and Assessment in the Third Year Robert S. Jablonover, MD, Alex Stagnaro-Green,

Epidemiology of Myelodysplastic Syndromes

Low-dose aspirin increases aspirin resistance in patients with coronary artery disease Pui-Yin Lee, MBBS, Wai-Hong Chen, MBBS, William Ng, MBBS, Xi Cheng,

The Effect of a Statewide Smoking Ordinance on Acute Myocardial Infarction Rates Paul Basel, BS, Becki Bucher Bartelson, PhD, Marie Claire Le Lait, MS,

The Epidemic of the 20th Century: Coronary Heart Disease

One-hour Rule-in and Rule-out of Acute Myocardial Infarction Using High-sensitivity Cardiac Troponin I Maria Rubini Gimenez, MD, Raphael Twerenbold,

Carotid Sinus Massage in Patients with Suspected Acute Myocardial Infarction, Tachycardia, and Left Bundle Branch Block Teddy Weiss, MD, Yair Elitzur,

Robert Goulden, MBBS, MSc, MPhil, MA The American Journal of Medicine

Laszlo Littmann, MD, PhD The American Journal of Medicine

Kay Lee Park, MD, Robert J. Goldberg, PhD, Frederick A

Jane S. Saczynski, PhD, Darleen Lessard, MS, Frederick A

Myocardial Infarction Associated with Kawasaki Disease in Adult Man: Case Report and Review of Literature Pranas Serpytis, MD, PhD, Zaneta Petrulioniene,

Acute Myocardial Infarction While Using the Nicotine Patch

Acute inferior wall myocardial infarction secondary to ruptured sinus of Valsalva aneurysm in a 22-year-old man Hui-Ping Sun, MD, Xiang Ma, PhD, Xue.

Incidence, Frequency, and Clinical Characteristics of Type 3 Myocardial Infarction in Clinical Practice Nikolaj Jangaard, MD, Laura Sarkisian, MD, Lotte.

Clinical Utility of a Precision Medicine Test Evaluating Outpatients with Suspected Obstructive Coronary Artery Disease Joseph A. Ladapo, MD, PhD, Matt.

Katherine Webber, MBBS, MSc, PhD, Andrew N. Davies, FRCP, Martin R

Peripartum Cardiomyopathy Presenting as an Acute Myocardial Infarction

Yader Sandoval, MD, Stephen W. Smith, MD, Sara A

Does Methylphenidate Reduce the Symptoms of Chronic Fatigue Syndrome?

Seizure with Acute Pulmonary Infiltrates

Ultra-Sensitive Copeptin and Cardiac Troponin in Diagnosing Non-ST-Segment Elevation Acute Coronary Syndromes—The COPACS Study Fabrizio Ricci, MD, Rosa.

Bedside Calibration Of Pulmonary Artery Catheters

Ahmed Abuzaid, MD, Carly Fabrizio, DO, Kevin Felpel, MD, Haitham S

Distal Embolization of Thrombus in Acute Myocardial Infarction

Postcardiac Injury Syndrome: A Rare Complication of Elective Coronary Angioplasty Sothinathan Gurunathan, MBBS, Guy Parsons, MBBS, Grace Young, BSc, MSc,

Reinfarction in Patients with Myocardial Infarction with Nonobstructive Coronary Arteries (MINOCA): Coronary Findings and Prognosis Anna M. Nordenskjöld,

An Unusual Initial Manifestation of Acute Leukemia

Purple Urinary Bag Syndrome

A Review of Learner Impact on Faculty Productivity

Jonathan R. Dalzell, MBChB, MRCP, Colette E

Plasma Lactescence in Acute Pancreatitis

Calcification of the Coronary Artery

Eosinophilic Myocarditis Presenting as ST-segment Elevation Myocardial Infarction Diagnosed with Cardiac Magnetic Resonance Imaging Grant Bailey, MD,

Acute Reperfusion Therapy in ST-Elevation Myocardial Infarction from

Laszlo Littmann, MD, PhD, Michael H. Monroe, MD

Tombstone ST Elevations: … Not Necessarily a Harbinger of Doom!

David E. Winchester, MD, David C. Wymer, MD, Roger Y

Direct Observation of Residents: A Model for an Assessment System

Falls in Older Adults: Risk Assessment, Management and Prevention

Hypophosphatemia: Diagnostic Significance in Legionnaires’ Disease

Secular trends in cardiovascular disease mortality, incidence, and case fatality rates in adults in the United States Ahmet Ergin, MD, PhD, MPH, Paul.

Presentation transcript:

‘Chest Pain Typicality’ in Suspected Acute Coronary Syndromes and the Impact of Clinical Experience Edward W. Carlton, MBChB, Martin Than, MBBS, Louise Cullen, MBBS, Ahmed Khattab, PhD, Kim Greaves, MD The American Journal of Medicine Volume 128, Issue 10, Pages 1109-1116.e2 (October 2015) DOI: 10.1016/j.amjmed.2015.04.012 Copyright © 2015 The Authors Terms and Conditions

Figure 1 Participant recruitment flow chart. AMI = acute myocardial infarction; CAD = coronary artery disease; ECG = electrocardiogram. The American Journal of Medicine 2015 128, 1109-1116.e2DOI: (10.1016/j.amjmed.2015.04.012) Copyright © 2015 The Authors Terms and Conditions

Figure 2 Discriminatory ability of the typicality of chest pain for either acute myocardial infarction, or significant coronary artery disease with and without high-sensitivity troponin-T elevation. The American Journal of Medicine 2015 128, 1109-1116.e2DOI: (10.1016/j.amjmed.2015.04.012) Copyright © 2015 The Authors Terms and Conditions

Figure 3 Sensitivities and specificities of typicality of chest pain for the diagnosis of acute myocardial infarction and significant coronary artery disease with and without high-sensitivity troponin elevation. The American Journal of Medicine 2015 128, 1109-1116.e2DOI: (10.1016/j.amjmed.2015.04.012) Copyright © 2015 The Authors Terms and Conditions