FOAMcast - An Emergency Medicine Podcast
Health & Fitness:Medicine
We cover the clinical policy from the American College of Emergency Physicians - Clinical Policy: Critical Issues in the Evaluation and Management of Emergency Department Patients With Suspected Non–ST-Elevation Acute Coronary Syndromes
In adult patients without evidence of ST-elevation acute coronary syndrome, can initial risk stratification be used to predict a low rate of 30-day major adverse cardiac events?
Use HEART score ≤3In adult patients with suspected acute non–ST-elevation acute coronary syndromes, can troponin testing within 3 hours of emergency department presentation be used to predict a low rate of 30-day major adverse cardiac events?
Negative conventional troponins at 0,3 hrs in low risk patients High sensitivity troponin: undetectable initial troponin, no need for another. Negative initial troponin, repeat at 2 hoursIn adult patients with suspected acute non–ST-elevation acute coronary syndromes in whom acute myocardial infarction has been excluded, does further diagnostic testing (eg, provocative, stress test, computed tomography [CT] angiography) for acute coronary syndrome prior to discharge reduce 30-day major adverse cardiac events?
No need to get provocative testing before discharge or within particular time frameShould adult patients with acute non–ST-elevation myocardial infarction receive immediate antiplatelet therapy in addition to aspirin to reduce 30-day major adverse cardiac events?
antiplatelet therapy additional to aspirin can be given or delayedThanks for listening!
Jeremy Faust and Lauren Westafer
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