A man in his 50s with acute chest pain, now resolved, has 2 undetectable troponins. CT Coronary Angiogram?

 Written by Pendell MeyersA man in his 50s presented to the ED with chest pain described as pressure, without radiation, acute onset about three hours prior to arrival. He had had stuttering less severe versions of this pain all week that usually went away after a few minutes. He also had diaphoresis and dyspnea. He had extensive family history of CAD with CABG's in the mid 50s for multiple relatives, but he had no personal known history of CAD. It is unclear whether he had pain at the time of triage, but notes describe that his pain had subsided by the time of EM physician evaluation:Triage at approximately 2130:What do you think? Decide before viewing the baseline ECG available below, then decide again in the context of the baseline ECG.Baseline ECG on file from 5 years ago:The baseline ECG is basically normal, with some high voltage possibly indicative of possible LVH (but no obvious LVH repol abnormalities), and borderline left axis deviation (also possibly due to LVH). These T waves and ST segments are normal for this QRS complex.The triage ECG above shows reperfusion of OMI in the midanterolateral pattern which is now called " South African flag sign " (V2-3 areas, then " skips " the lateral precordial leads and reappears in I and aVL)-- T-wave inversion in aVL, with flattening in lead I--Reciprocallyupright and hyperacute inferior T-waves (These appear to be inferior hyperacute T-waves, but are actually reciprocal to the inverted T-wave in...
Source: Dr. Smith's ECG Blog - Category: Cardiology Authors: Source Type: blogs

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 Launca Medical is thrilled to announce its official US debut at this year's Chicago midwinter meeting Feb 24-26thThe primary Launca 20x20 booth will be in Chicago's McCormick Place West building Booth #5034,as well we have a booth in the LMT Lab Day meeting at the Hyatt Regency Chicago. Our entire North American executive team will be on hand for this meeting and looking for new dealer and lab partnerships to work together in 2022! Launca Medical Device Technology Co., Ltd. (Launca) is a leading provider of innovative scanning solutions in digital dentistry. Established in 2013 by Dr. Jian Lu...
Source: Dental Technology Blog - Category: Dentistry Source Type: news
ConclusionsThe risk of perioperative thrombosis in UC patients was considered similar to that in CRC, so active thromboprophylaxis should be administered to UC patients while paying attention to bleeding.Trial registrationThis study was registered with the Japanese Clinical Trials Registry as UMIN000042004 (http://www.umin.ac.jp/ctr/index.htm).
Source: Surgery Today - Category: Surgery Source Type: research
ConclusionsDespite advances in perioperative care, VTE after esophagectomy still represents a source of morbidity for about 4% of patients. Low molecular weight heparin is suggested as the routine standard prophylactic regimen after esophageal cancer surgery.
Source: Surgery Today - Category: Surgery Source Type: research
Medtronic announces FDA approval of spinal cord stimulation therapy for treating chronic pain resulting from diabetic peripheral neuropathy /PRNewswire/ -- Medtronic plc (NYSE:MDT), a global leader in healthcare technology, today announced it has received U.S. Food and Drug Administration approval... www.prnewswire.com "Medtronic estimates that up to 800,000 US patients suffer from moderate to severe DPN symptoms that are not resolved through conventional medical management approaches, like drugs. The company views these patients as potential ...
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums
Source: BMJ Comments - Category: General Medicine Source Type: forums
Scientists at the University of California, who monitored 2,500 Americans from their 30s to middle age, found those whose hearts grew faster than average had worse memory later in life.
Source: the Mail online | Health - Category: Consumer Health News Source Type: news
HIGH cholesterol occurs when you have too much of a fatty substance called cholesterol in your blood. The build-up of this substance can cause a blockage in your blood vessels, leading to heart problems and stroke. New research shares the "hedonically acceptable snacks" which can lower high levels in just weeks.
Source: Daily Express - Health - Category: Consumer Health News Source Type: news
A small pilot study suggests that an injection of a patient's own fat cells can help ease the often-excruciating heel pain brought on by a condition known as plantar fasciitis.
Source: WebMD Health - Category: Consumer Health News Source Type: news
When Jeremy Luban first looked over the genetic sequence of the Omicron variant on his phone one day last November, it was five o’clock in the morning. But even at that hour, the University of Massachusetts virus expert knew right away Omicron was a problem. First, there was the sheer number of new mutations—by some counts, as many as 50, with 30 of them in the critical places that vaccines and drug treatments target. Second, this new version of the SARS-CoV-2 virus seemed to appear out of nowhere, unpredictably and with no immediately obvious connection to previous variants. [time-brightcove not-tgx=”tru...
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Conditions:   Musculoskeletal Manipulations;   Low Back Pain Intervention:   Other: Pragmatic Mobilization Sponsor:   Youngstown State University Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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