Pericarditis

Diffuse ST elevation, without reciprocal ST depression, mostly in inferior limb leads and lateral precordial leads. This is very typical for pericarditis.

Approach to Chest Pain

Clinical factors that INCREASE likelihood of ACS/AMI: CP radiating bilaterally > right > left Diaphoresis associated with CP N/V associated with CP Pain with exertion

The Heart Score

The risk of ACS in patients with negative biomarkers and normal ECGs approaches 0.2%. Prior risk scores, such as TIMI and GRACE, provide little, if any benefit, in risk stratification for ED chest pain patients. The HEART score and pathway can risk stratify patients into three separate categories: low (0-3), moderate (4-6), and high score (> 7). Low-risk patients on […]

NSAIDS increase risk of Heart Attacks

A cohort of 446 763 individuals including 61 460 with acute myocardial infarction was acquired. Taking any dose of NSAIDs for one week, one month or more than a month was associated with an increased risk of myocardial infarction. With use for one to seven days, the probability of increased myocardial infarction risk (posterior probability […]

Emergency Medicine Kenya Foundation

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