2014 ACS Coronary 
REBEL EM
MARCH 2, 2023
Background: Historically, we have treated acute coronary syndrome with supplemental oxygen regardless of the patient ’ s oxygen saturation. More recent evidence, however, demonstrates that too much oxygen could be harmful ( AVOID Trial ) by causing coronary vasoconstriction and increasing oxidative stress. Low O2 protocol: 3.1%
ALiEM
SEPTEMBER 16, 2024
A 94-year-old female with a past medical history of hypertension, coronary artery disease, chronic venous stasis, and permanent pacemaker placement initially presented to triage complaining of left hip pain in the setting of a fall shortly prior to arrival. doi: 10.21037/acs.2016.05.04. 2014 Jul; 3(4):351-67. 2016 May; 5(3):256.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Dr. Smith's ECG Blog
DECEMBER 11, 2023
For the same reason, you should not delay coronary angiography because pain resolves with morphine. Both the outdated 2014 AHA/ACC guidelines and the updated 2023 ESC guidelines recommend immediate invasive management of patients with uncontrolled chest pain. 2023 ESC guidelines for the management of acute coronary syndromes.
Dr. Smith's ECG Blog
APRIL 18, 2024
The ECG is just a test: a Bayesian approach to acute coronary occlusion If a patient with a recent femur fracture has sudden onset of pleuritic chest pain, shortness of breath, and hemoptysis, the D-dimer doesn’t matter: the patient’s pre-test likelihood for PE is so high that they need a CT. Circulation 2014 2. But does this matter?
Dr. Smith's ECG Blog
NOVEMBER 4, 2022
Smith: If this is ACS (a big if), t his is just the time when one should NOT use "upstream" dual anti-platelet therapy ("upstream" means in the ED before angiography). History sounds concerning for ACS (could be critical stenosis, triple vessel), but differential also includes dissection, GI bleed, etc. Anything more on history?
Dr. Smith's ECG Blog
DECEMBER 14, 2016
We could not rule out acute epicardial coronary (large artery) occlusion. Learning Point Acute coronary occlusion may occur with no ECG findings whatsoever. This is from the 2014 ACC/AHA guidelines. Patients with ACS and hemodynamic instability 2. Patients with ACS and acute pulmonary edema 3. This includes: 1.
EM Didactic
OCTOBER 7, 2018
Other possible reasons for higher levels could be: Pregnancy Coronary Artery Disease Viral Infections (10–40 mg/L) Bacterial infection (>40mg/dL) Malignancy, Obstructive Sleep Apnea, Connective Tissue Disorders Serial CRP measurements may be helpful to monitor a patient’s response to medical intervention. 2014 Jan 1;3(1):1-5.
Expert insights. Personalized for you.
52 
Let's personalize your content