Category: Troponins
A Decade of Diagnostics in Emergency Care
When we saw in the last decade, I’d just finished my PhD looking to discover the ‘new troponin’. At the time, patients with suspected acute coronary syndromes (ACS) were routinely admitted to hospital to undergo …
Risk scores for cardiac chest pain: the first head-to-head comparison!
Suspected cardiac chest pain: everyone sees it, everyone has a different clinical pathway, and everyone has a different risk score for it. This week the Emergency Medicine Journal published our paper “Comparison of four decision …
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 …