Cardiology – Page 13 – The Emergency Medicine Manual

Circumflex occlusion ECG patterns

03/11/2017 by Bob Dunn

The ECG in acute coronary syndromes page has been updated with additional information about ECG patterns in circumflex artery occlusion.

Subtle ST elevation

21/10/2017 by Bob Dunn

The ECG in acute coronary syndromes page has been updated with additional information about how to differentiate subtle ST elevation due to ischaemia than that due to other causes.

Prasugrel/fentanyl interaction

11/10/2017 by Bob Dunn

Details of the interaction between prasugrel and fentanyl has been added to the Management of acute coronary syndromes page.

NAC in STEMI

30/09/2017 by Bob Dunn

The Management of acute coronary syndromes page has been updated with information about the beneficial effects of NAC in patients undergoing PCI for STEMI.

BNP in heart failure monitoring

18/09/2017 by Bob Dunn

The Assessment of heart failure page has been updated with the information that BNP outpatient monitoring does not appear to be superior to clinical monitoring in high risk patients.

NAC in ACS

16/09/2017 by Bob Dunn

The Management of acute coronary syndromes page has been updated with some additional information about NAC and the removal of the section on non-thrombolytic therapy in MI.

ECG features of ischaemia

13/08/2017 by Bob Dunn

The ECG in acute coronary syndromes page has been updated with some additional information about patterns of regional ischaemia and reciprocal changes.

Adenosine following cardiac transplantation

10/07/2017 by Bob Dunn

Adenosine has long been considered contraindicated in transplanted hearts, but this is now being questioned in young patients. The Cardiac transplantation page has been updated to reflect this. Flyer, JN, Zuckerman, WA, Richmond, ME, et al. Prospective Study of Adenosine on Atrioventricular Nodal Conduction in Pediatric and Young Adult Patients After Heart Transplant. Circulation 2017 … Read more

ECG findings in LV aneurysm

13/05/2017 by Bob Dunn

The ECG in acute coronary syndromes page has been updated with additional information about the ECG findings in LV aneurysm.

Opioids in ACS

15/04/2017 by Bob Dunn

The Management of acute coronary syndromes page has been updated with an expanded segment on the role (or lack of) of opioids in managing ACS.

Cardiac monitoring in suspected ACS

31/03/2017 by Bob Dunn

The Management of suspected acute coronary syndromes page has been updated with additional information about indications for cardiac monitoring in the ED.

Coronary artery dissection

11/03/2017 by Bob Dunn

A segment on Coronary artery dissection has been added to the Coronary artery disease page.

Treatment of PE table

20/01/2017 by Bob Dunn

A table summarising the treatment of PE in different situations has been added to the Management of PE page.

CCTA

11/12/2016 by Bob Dunn

Additional details about the accuracy and role of CCTA have been added to the Other diagnostic modalities in ACS page.

Diagnostic yield of CTPA

03/12/2016 by Bob Dunn

Some information about the approximate diagnostic yield from CTPA has been added to the Investigations in PE – imaging page.

Canadian syncope risk score

20/11/2016 by Bob Dunn

Details of the Canadian syncope risk score have been added to the Syncope page following the publication of the article: Thiruganasambandamoorthy, V, Kwong, K, Wells, GA, et al. Development of the Canadian Syncope Risk Score to predict serious adverse events after emergency department assessment of syncope. CMAJ 2016;188(12):E289-98.