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Cardiology

From the ECG to the wider clinical picture: cases, research and discussion on chest pain, acute coronary syndromes, arrhythmias and heart failure in emergency care.

The Troponin Ashes at SMACC Gold: Cullen v Body

4 min read

Louise Cullen and Rick Body debate whether high-sensitivity troponin is friend or foe at SMACC Gold 2014. This post brings together the recording, both speakers’ slides and background resources on troponin interpretation, including why a raised concentration does not always mean acute myocardial infarction.

Syncope at St Emlyns

4 min read

A 2014 induction guide and podcast on assessing syncope in the emergency department. Simon Carley and Iain Beardsell discuss establishing what happened, gathering a witness history and using the ECG, then connect possible causes with the physiology of cerebral perfusion to structure further assessment.

Podcast – Understanding Troponin Part 2

32 min read
Understanding troponin

Iain Beardsell and Rick Body explore high-sensitivity troponin testing in this 2014 podcast. They distinguish analytical from diagnostic sensitivity, explain assay precision and changes between samples, and discuss why results need interpretation alongside the clinical picture rather than being treated as a diagnosis on their own.

High sensitivity troponin

9 min read
High Sensitivity Troponin

What does ‘high sensitivity’ actually mean when describing a troponin assay? This 2014 explainer and accompanying podcast unpack detection limits, precision and the distinction between analytical and diagnostic sensitivity, while exploring why more sensitive tests still require careful clinical interpretation.

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