The latest on Myocardial Infarction

The latest on Myocardial Infarction – Barbra Backus

This presentation will give you an update of the current chest pain protocols; including risk scores (HEART, TIMI, EDACS) with / without high sensitive troponin. But also on the newer pathways with rule out of acute coronary syndrome with a high sensitive troponin below the limit of detection or two troponins with a delta.

How do we use these chest pain protocols in tomorrow’s clinical practice? How do you choose a protocol that fits in your institution? Which chest pain patient can we discharge safely from the emergency department and for whom should we organize outpatient follow up? And how do you share your decision with the patient in front of you?

The Podcast

Barbra Backus (@barbrabackus) is an emergency physician and creator of the HEART score. Before starting her emergency medicine residency, she performed several years of research, resulting in her PhD in 2012. She was the lead investigator for the validation studies of the HEART score. Her work has changed the evaluation of chest pain at emergency departments worldwide. She is a mother of two daughters and still an inspired researcher.

The Slides

The Coda Community

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Oliver Flower, staff specialist in Intensive Care Medicine at Royal North Shore Hospital, Sydney | NeuroResus |

One comment

  1. Does anyone know what paper Barbera is talking about with that uses a modified HEART score 48% NPV and a 99.8. I’d love to use this evidence to introduce a meaningful change in practice in my ED. I have been looking and can’t find it.

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