Acad Emerg Med, Feb 2013 published a Canadian retrospective cohort study reviewed patients with ECG, presented to ED with atrial fibrillation. The Outcome measure was mortality in short and long term (30 , 90 , 365 days) among patients with atrial fibrillation who had different primary ED diagnosis for their visits. (more…)
‘Cardiology’ Category
-
Mortality of Patients With Atrial Fibrillation and an Alternative Primary Diagnosis
March 4, 2013 by Pourmand
Category Cardiology | Tags: | Comments Off
-
ACEP Clinical Policy: Asymptomatic HTN in ED
February 19, 2013 by Pourmand
There is a new clinical Policy that Published in Feb, Evaluation and Management of Adult Patients in the Emergency Department With Asymptomatic Elevated Blood Pressure. There was always a big ? regarding triage and disposition of these patients. There is no great data even on this clinical policy but at least we have some references for that. They answered to following questions:
(more…)Category Cardiology | Tags: | Comments Off
-
Challenges regarding Troponin
January 3, 2013 by Pourmand
This is the last update in 2012, but I am happy to end this year with one of the most challenging topics in medicine. The article is from J Am Coll Cardiol in Dec. You can find the Full text link here
1. Remeber: Troponin elevation imparts a worse prognosis, irrespective of the underlying etiology. (more…)Category Cardiology, PGY1, PGY2, PGY3, PGY4 | Tags: | Comments Off
-
aVR: The most Ignored Lead
October 23, 2012 by Pourmand
JACC in 2001 published an article that nicely explained the necessity of interpreting lead aVR in clinical setting. There are 3 categorizes that we should consider in this regard:1. acute coronary syndromes, 2. acute PE, 3. arrhythmia. I strongly recommend you to take a look to the following link
Category Cardiology, PGY1, PGY2, PGY3, PGY4 | Tags: | Comments Off
-
Typical Vs Atypical Chest pain
October 19, 2012 by Pourmand
What does typical chest pain mean? Traditionally, we thought that midsternal chest pain with radiation to left arm and increased with exertion, we just had another discussion on this topic on our grand round and all the studies and even (more…)
Category Cardiology, PGY1, PGY2, PGY3, PGY4 | Tags: | Comments Off
-
Hypertension treatment
August 19, 2012 by Pourmand
What is your favorite hypertension numbers to treat in ED? there are a lots of controversies regarding the exact number to start treatment in ED but recent Cochrane review on mild HTN suggest that antihypertensive agents used in the treatment of adults with hypertension stage I (systolic BP 140-159 mmHg and/or diastolic BP 90-99 mmHg) (more…)
Category Cardiology, PGY1, PGY2, PGY3, PGY4 | Tags: | Comments Off
-
EKG differentiation of early Repol vs STEMI
June 4, 2012 by Pourmand
Annals of Emergency Medicine published an article which it provided a formula to determine if we can differentiate between STEMI vs Early Repolarization. I really do not know in an acute setting I am able to sit down and calculate this but sometimes in terms of training it could be fun to do this practice!!! (more…)
Category Cardiology, PGY3, PGY4 | Tags: | Comments Off
-
SYNCOPE vs Near SYNCOPE
May 20, 2012 by Pourmand
I read this article long time ago but I had a discussion with one of my resident and to give her reference I would like to have it here. Basically this study showed that Syncope and Near syncope has same critical interventions or adverse outcomes. This term should be taking care as we care about syncope.
Category Cardiology, PGY1, PGY2, PGY3, PGY4 | Tags: | Comments Off
-
New Concepts in the Assessment of Syncope
May 16, 2012 by Pourmand
There is a State-of-the-Art Paper in the latest edition of Journal of the American College of Cardiology, May 2012.The title of article is New Concepts in the Assessment of Syncope. The authors perspective was based on the presence of a syncope specialist (“the right physician”), adequate equipment including online prompting tools and logistics (“the right place”), and optimal organization (“the right time”), as exemplified in a syncope facility, have been shown to improve at least short-term outcomes.
Category Cardiology, PGY3, PGY4 | Tags: | Comments Off
-
What is the role of Morphine in Flash Pulmonary Edema?
May 11, 2012 by Pourmand
We always taught that Morphine can decrease preload and can help with anxiety and pain in acute flash pulmonary edema. But evidence does not support this Claim. (more…)
Category Cardiology, PGY1, PGY2, PGY3, PGY4 | Tags: | Comments Off
-
Focused Cardiac Ultrasound in the Emergent Setting
February 5, 2012 by Pourmand
American Society of Echocardiography (ASE) and the American College of Emergency Physicians (ACEP) described the important role of focused cardiac ultrasound (FOCUS) in patient (more…)
Category Cardiology, Ultrasound | Tags: | No Comments
-
Cardiac arrest and prognosis
December 22, 2011 by Pourmand
This is one of the challenging topics in EM. when should you stop CPR? what parameters do you have to continue versus terminate CPR? (more…)
Category Cardiology, PGY1, PGY2, PGY3, PGY4 | Tags: | No Comments
-
New LBBB and STEMI
November 28, 2011 by Pourmand
There are lots of questions raised recently regarding activation of cath. lab in the setting of new LBBB or presumed new LBBB. It is really challenging when you have a patient with chest pain and there is no old EKG to compare findings of LBBB. (more…)
Category Cardiology | Tags: | No Comments