Category: Acute Coronary Syndromes

Acute Coronary Syndromes

The MACS rule: a new user-friendly version

This blog post is based on a paper we’ve just had published in the Emergency Medicine Journal entitled: ‘The Manchester Acute Coronary Syndromes (MACS) decision rule: validation with a new automated assay for heart-type fatty

Is severe chest pain more likely to be a heart attack?

    Have you ever heard this sort of conversation in your ED? Junior ED doc: Can I run my patient by you, please? Senior ED doc: Sure Junior: I  have a 40 year old man with chest

New NICE high sensitivity troponin guidance: 3 hours and done?

The National Institute for Health and Care Excellence (NICE) from the UK has just published new recommendations for the use of high sensitivity troponin to rule out NSTEMI in the Emergency Department.  You can find

The Heart Under Stress – St. Emlyn’s at SMACC Gold

  Chris Nickson (@precordialthump) is a genius in many ways. Not only does he organise arguably the best healthcare conference in the world right now, but he’s also a very clever chap when it comes

High sensitivity troponin at St. Emlyn’s

Recently we published part one of our series on cardiac troponins.  If you haven’t checked it out yet, you can find it here.  In the second part, we’re going to take a look at high

Cardiac Troponin: The basics from St. Emlyn’s

Do you remember when it took three days to ‘rule in’ or ‘rule out’ an acute myocardial infarction (AMI)?  When I was a medical student doing my first clinical attachments, I remember doing ward rounds

How accurate is clinical judgement for acute coronary syndromes?

This blog post is based on the paper published in the EMJ this week – Body R et al. Can emergency physicians rule in or rule out acute coronary syndromes using clinical judgement? EMJ 2014

Cardiology Case 04: An unusual ECG

Here we go with another Cardiology Case at St. Emlyn’s.  If you haven’t already, check out the other cases in this series: Cardiology case 01 Cardiology case 02: ST depression, no rush? Cardiology case 03: Are

The MACS Rule: Immediate ‘rule in’ and ‘rule out’ for suspected cardiac chest pain

This post is about a paper we published today in Heart – the result of more than 9 years of work – phew! Here’s a link to the paper (open access), which reports how we

Cardiology Case 03: Are you missing the STEMI? St. Emlyn’s

It’s been a while since we had a Cardiology case at St. Emlyn’s.  If you haven’t already seen Cardiology cases 1 and 2, make sure you take a look. Check out our disclaimer too.  We

Translate »