hsTnT risk stratification pathway
A hsTnT based risk stratification pathway for suspected ACS has been added to the Risk stratification of ACS page.
Cardiology
hs Troponins
The Troponins in ACS page has been extensively revised to reflect new understanding of the role of hsTnT in the evaluation of chest pain.
Single ‘rule out’ hsTnT
The Troponins in ACS page has been updated with additional information about the role of a single low level hsTnT in excluding ACS in ED patients with acute chest pain.
High sensitivity troponin and CVasc risk prediction
The Troponins in ACS page has been updated with a section on hsTnT as a predictor of CVasc risk.
hs TNT
Additional information about high sensitivity troponin has been added to the Troponins in ACS page.
Massive anterior STEMI ECG
An ECG demonstrating a massive anterior STEMI has been added to the The ECG in acute coronary syndromes page.
Supplemental O2 and STEMI
The Management of acute coronary syndromes page has been updated with a more definite statement against the use of routine supplemental O2 for the treatment of ACS following publication of a recent Australian RCT on the subject.
Age and gender effects on hsTNT
The Troponins in ACS page has been updated with additional information about the importance of age and gender related cut-off values when interpreting hs TNT and hs TNI values.
High sensitivity troponins
Additional information about high sensitivity troponins has been added to the Troponins in ACS page.
4 new ECGs added to gallery
4 new ECGs have been added to the ECG gallery, taking the total number past 90.
Proximal anteroseptal MI ECG
An ECG demonstrating a proximal anteroseptal MI has been added to the ECG in acute coronary syndromes page.
ACS treatment summary table
The ACS treatment summary table on the Management of acute coronary syndromes page has been slightly modified to include UFH for patients likely to go the cath lab within 24 hours of presentation.
Revised Jones criteria for rheumatic fever
The Rheumatic fever page has been updated with information about the latest AHA guidelines for the diagnosis of rheumatic fever.
Mitral valve echocardiographic views
A short segment on the echocardiographic views of the mitral valve has been added to the Mitral stenosis page.
Takotsubo cardiomyopathy ECG
An ECG typical of Takotsubo cardiomyopathy and some additional information about the condition has been added to a new page called Myocardial infarction with non obstructive coronary arteries.
Myocardial bridging defect CT
A CT image of myocardial bridging defect has been added to the Coronary artery disease page.
Acute aortic dissection risk score
A segment describing the acute aortic dissection risk score has been added to the Thoracic aortic dissection page.
de Winter ECG changes
A short segment on de Winter ECG changes in ACS has been added to the ECG in acute coronary syndromes page.
MINOCA
The section on Myocardial ischaemia and non-obstructive coronary arteries on the Coronary artery disease page has been updated with additional information regarding prognosis and causes.
BNP and NT-ProBNP test characteristics for heart failure
The Assessment of heart failure page has been updated with additional information regarding the test characteristics of BNP in the diagnosis of heart failure.