Dunn RJ
A short segment on the echocardiographic views of the mitral valve has been added to the Mitral stenosis page.
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.
A CT image of myocardial bridging defect has been added to the Coronary artery disease page.
A segment describing the acute aortic dissection risk score has been added to the Thoracic aortic dissection page.
A short segment on de Winter ECG changes in ACS has been added to the ECG in acute coronary syndromes page.
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.
The Assessment of heart failure page has been updated with additional information regarding the test characteristics of BNP in the diagnosis of heart failure.
Print version 1 – Page 518 – Risk stratification of suspected ACS – Patients with an EDACS score of ≤ 5 may not need serial troponin testing, not ≥ 5 as stated.
The Cardiovascular examination page has been updated with a correction. The base from which the JVP is measured is the manubriosternal angle, not the sternal notch (although the base of the notch in a patient at 45 degrees is probably not far off).
The Cardiac tumours page has been updated including additional detail about the causes of secondary cardiac tumours.
An ECG demonstrating phase II changes of pericarditis has been added to the Pericarditis page.
The Aortic stenosis page has been updated with information about using echocardiography in assessment.
The Aortic valve disease page has been updated with information about aortic valve replacement choices.
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The Risk stratification in suspected ACS page has been updated, including information about the lack of utility of exercise stress testing in low-intermediate risk patients < 40 years of age who present to the ED with chest pain.
[avatar user=”robjdunn” size=”original” align=”left” /] Just when you thought troponin couldn’t be less specific for ACS, additional non ACS causes of elevated troponin have been added to the Non ACS causes of elevated troponin. It is telling in itself that there is a whole page on this subject! So if you do troponins on patients … Read more
An audio clip of moderate mitral regurgitation has been added to the Other valve lesions page.