Category: Troponins
The Future of Diagnostics #stemlynsLIVE
Making diagnoses is arguably the most important aspect of our work in Emergency Medicine. Until we know something about the nature of a patient’s condition, we can’t make informed decisions about whether they need to …
Troponin and biotin: a lethal combination?
Imagine you’re treating a patient who presented with typical cardiac chest pain. The initial ECG showed subtle lateral ST depression that seemed to resolve on subsequent ECGs. You’re very concerned by the clinical picture and …
St Emlyn’s in Review – October 2017
It’s great to be back podcasting again after what has been a busy few months, We’re sorry for the hiatus, but occasionally other stuff gets in the way! Here we review some of the amazing …
Is cMyC the new troponin?
Anyone who reads the news is likely to have seen the recent paper in Circulation evaluating a new biomarker of acute coronary syndromes: cardiac myosin binding protein C (cMyC) . This paper has been covered …
One high sensitivity troponin test to rule out acute myocardial infarction
This month I was honoured that a study I wrote with some terrific colleagues from Europe, Australia and the US has been published as the ‘Editor’s Choice’ in Academic Emergency Medicine. This was a secondary analysis …
Getting your chest pain evaluation right: #UMECS16
Last week, while Iain was giving a keynote lecture in Austria, I was also heading for distant shores to speak about chest pain evaluation at a special conference set up by the legendary Amal Mattu: …
JC: High sensitivity Troponin I on presentation. Is it enough to rule out ACS? St.Emlyn’s
As you surely know we love thinking about Troponin at St.Emlyn’s. We have our own world expert in Rick Body and there is loads of stuff here on the site about the use (and abuse) …
JC: Are typical chest pain symptoms predictive of outcome? St.Emlyn’s
We love a bit of meta-cognition here at St.Emlyn’s. As time passes and we all become a little longer in the tooth it becomes increasingly apparent that it’s not just ‘what’ we know it’s how …
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 …
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 …