CCTA
Additional details about the accuracy and role of CCTA have been added to the Other diagnostic modalities in ACS page.
Cardiology
Diagnostic yield of CTPA
Some information about the approximate diagnostic yield from CTPA has been added to the Investigations in PE – imaging page.
Canadian syncope risk score
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.
CTPA for RV strain
The Investigation of PE – imaging page has been updated with information about the test characteristics of CTPA in the detection of RV strain following PE
Limitations of echocardiography for endocarditis diagnosis
The Endocarditis page has been updated with a short segment on the limitations of echocardiography for the diagnosis of endocarditis.
Pitting oedema
The Oedema page has been updated, including more information about the severity of pitting oedema.
Assessment of JVP
The Cardiovascular examination page has been updated with additional information about the clinical assessment of the JVP.
Inferior MI ECG changes and culprit artery
The ECG in acute coronary syndromes page has been updated with new information regarding ECG changes associated with different culprit artery lesions in inferior infarction.
Chest wall tenderness in acute pericarditis
The Pericarditis page has been updated with information about the frequency of chest wall tenderness in pericarditis.
Management of ACS
The Management of acute coronary syndromes page has been updated following the recent publication of the Australian Heart Foundation 2016 Guidelines on ACS. Chew, DP, Scott, IA, Cullen, L, et al. National Heart Foundation of Australia and Cardiac Society of Australia and New Zealand: Australian clinical guidelines for the management of acute coronary syndromes 2016. Med … Read more
Risk stratification of suspected ACS
The Risk stratification of ACS page has been updated following the recent publication of the Australian Heart Foundation 2016 Guidelines on ACS. Chew, DP, Scott, IA, Cullen, L, et al. National Heart Foundation of Australia and Cardiac Society of Australia and New Zealand: Australian clinical guidelines for the management of acute coronary syndromes 2016. Med … Read more
Pulsus paradoxicus in cardiac tamponade
The Pericardial tamponade page has been updated including the diagnostic accuracy of pulsus paradoxicus.
Features of benign murmurs
The features of benign murmurs have been revised on the Cardiac murmur differentiation page.
Clinical features of aortic stenosis
The Aortic stenosis page has been updated with a revision of the clinical features of AS.
Peripheral ischaemia
The features of peripheral ischaemia have been updated on the Peripheral ischaemia ischaemia.
JVP
The Cardiovascular examination page has been revised with additional information about the JVP including how 8cm (not 5cm) should be added to the height above the manubriosternal angle to estimate CVP.
Troponin rise after 30 Km run
The Non ACS causes of elevated troponins has been modified to include additional information about the almost universal finding of elevated hsTroponins following a 30km run in well trained individuals. Klinkenberg, LJ, Luyten, P, van der Linden, N, et al. Cardiac Troponin T and I Release After a 30-km Run. Am J Cardiol 2016 . … Read more
Silent MI
The Clinical assessment of suspected ACSÂ page has been updated with additional information about the incidence of silent ischaemia. Incidence and Prognostic Significance of Silent Myocardial Infarction in the Atherosclerosis Risk in Communities (ARIC) Study. Circulation 2016;133(22):2141-8.
Non fasting lipids are OK
The Cardiovascular risk reduction page has been updated with the recommendation that fasting for lipid sampling is no longer required. Mora, S. Nonfasting for routine lipid testing: From evidence to action. JAMA Internal Medicine 2016.
Single value hsTnI rule out strategy
The Troponins in ACS page has been updated with some additional information about single value hsTnI to rule out ACS. The bottom line is that hsTnT is probably more sensitive than hsTnI for clinically significantly outcomes, so is currently preferred. Carlton, E, Greenslade, J, Cullen, L, et al. Evaluation of High-Sensitivity Cardiac Troponin I Levels … Read more