Effectiveness to identify acute myocardial infarction using the Manchester screening in patients with chest pain at the emergency service

Journal of Clinical Laboratory Analysis, EarlyView.
Source: Journal of Clinical Laboratory Analysis - Category: Laboratory Medicine Source Type: research

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​BY ARJUN BHARADWAJ &KHALID MALIK, MDA 58-year-old man who lived at a nursing facility came to the emergency department complaining of abdominal pain for three days. His pain was localized to the epigastrium and periumbilical regions. The nursing home staff indicated that he was hypotensive and possibly hypoxic.The patient said he never had similar pain before, which he said pain was mild and constant in severity and did not radiate to the chest, back, pelvis, or shoulders. He also reported nausea but no trauma, falls, vomiting, fever, chills, dizziness, chest pain, shortness of breath, trouble walking, or change in ...
Source: The Case Files - Category: Emergency Medicine Tags: Blog Posts Source Type: research
What do you think?Computer read is: " Moderate ST depression "I said:" Inferior OMI (Occlusion Myocardial Infarction -see the Manifesto).  Activate the cath lab. "Dr. Laura Schrag also saw this immediately and that is why she showed it to me.Then I asked: " Chest pain?  Is it a good story? "Answer: The patient was a 60-ish woman with 3 risk factors who had had stuttering chest pain for a week, now constant.What makes this diagnostic of OMI when there is less than 0.5 mm of ST Elevation?--ST elevation is large relative to QRS size (the QRS above is very small)-- " Bulky " T-...
Source: Dr. Smith's ECG Blog - Category: Cardiology Authors: Source Type: blogs
Authors: Cheng YF, Chen CC Abstract The prevalence of chronic pain increases with age. The pain occurrence in the elderly ranges from 25% to 80% in different countries. Ischemic heart disease is also prevailing in the aged people. Restored blood flow quickly rescues myocardium but also causes ischemia-reperfusion (IR) injury. Brief episodes of ischemia at a distant organ could reduce the myocardial reperfusion injury. This is called remote ischemic preconditioning (RIPC) cardioprotection. Several circulating factors and neurogenic signals contribute to the cardioprotection by RIPC. Preinfarction angina, a form of c...
Source: Advances in Experimental Medicine and Biology - Category: Research Tags: Adv Exp Med Biol Source Type: research
SILENT heart attack is a heart attack which can be difficult to identify - many people won ’t realise they’re having one. The condition is often ignored because people’s high pain thresholds lead them to downplay symptoms. But recognising the signs and symptoms can help you avoid fatal consequences.
Source: Daily Express - Health - Category: Consumer Health News Source Type: news
HEART attack symptoms include chest pain, difficulty breathing, and an overwhelming feeling of anxiety. But, you could also be at risk of a deadly myocardial infarction if you have this “radiating” pain - are you at risk?
Source: Daily Express - Health - Category: Consumer Health News Source Type: news
Conclusion: "Given the extremely low yield and high associated charges, current guidelines for triage ECG for identifying a possible STEMI should be reviewed. "Fair enough.  I will briefly review the guidelines here and now: One should never use charges to calculate cost.  Charges and cost have no relation to each other in hospital billing.  In our ED, a health care assistant (HCA) records all ECGs, in triage and elsewhere.  It takes at most 10 minutes (this is an exaggeration).  At total compensation of $50,000 per year, working 1800 hours, an HCA could record over 10,000 ECGs ...
Source: Dr. Smith's ECG Blog - Category: Cardiology Authors: Source Type: blogs
Publication date: Available online 6 October 2018Source: Clinica Chimica ActaAuthor(s): Peter A. Kavsak, Andrew Worster, Stephen A. Hill, Allan S. JaffeAbstractBackgroundInternational recommendations on high-sensitivity cardiac troponin (hs-cTn) testing recommend that laboratories select only one sample type for testing. We eluated the Siemens ADVIA Centaur hs-cTnI assay in serum and thereby provide information on imprecision, long-term storage stability, freeze-thaw stability, method comparison to other hs-cTnI assays, and clinical performance.MethodsPatients with chest pain onset
Source: Clinica Chimica Acta - Category: Laboratory Medicine Source Type: research
Written by Pendell MeyersWe walked in to an overnight shift with approximately 70 patients in the waiting room and a room full of sign-outs at midnight. At 3:55 AM during that kind of a night shift, this ECG (among many others) was brought from triage for review by my team.We knew only that the ECG belonged to a man in his 50s with chest pain and normal vitals. No prior available.Here is the computer interpretation:So we have a triage-computer-normal ECG.Don't bother me with this, right?I'm sure you can imagine the cognitive burden we had during this type of night. On first review from triage, my attending and I waffled ab...
Source: Dr. Smith's ECG Blog - Category: Cardiology Authors: Source Type: blogs
ConclusionThe immediate return of low risk STEMI patients to their originating hospitals after PPCI is safe and feasible and is effective strategy to provide this prefer and effective re-perfusion therapy to vast majority of patients with STEMI.
Source: Journal of the Saudi Heart Association - Category: Cardiology Source Type: research
HEART attack risk could be lowered by making some small diet or lifestyle changes. Lower your risk of deadly myocardial infarction pain by eating more of this cheap breakfast food. It could help to get rid of harmful cholesterol.
Source: Daily Express - Health - Category: Consumer Health News Source Type: news
More News: Emergency Medicine | Heart Attack | Laboratory Medicine | Pain