Diagnosing and Managing Acute Coronary Occlusion in the Emergency . . . How to use the Sgarbossa and the Smith-modified Sgarbossa criteria to assess ischemia When posterior myocardial infarction might be present, and how to test for it Recognizing acute or subacute ischemia, reciprocal ST-segment depression, and inferior myocardial infarction When transthoracic echocardiography should be ordered
STEMI in the ED: Review the Latest Evidence on Diagnosis and Treatment How can use of the Sgarbossa criteria reduce false activation of the cardiac catheterization laboratory? Oxygen, opioids, aspirin, nitroglycerin, P2Y12 inhibitors, beta blockers, heparin: what are the latest recommendations on their use?
NSTEMI: The Latest Evidence in Emergency Department Management How has the modified Sgarbossa criteria increased sensitivity for identifying MI? What is the latest evidence on the value of high-sensitivity troponin assays? Risk stratification scores: HEART, GRACE, TIMI: Which is best for the ED? Is there new evidence on treatment strategies – analgesia, antiplatelets, anticoagulation?
EB Medicine Topics How can use of the Sgarbossa criteria reduce false activation of the cardiac catheterization laboratory? Oxygen, opioids, aspirin, nitroglycerin, P2Y12 inhibitors, beta blockers, heparin: what are the latest recommendations on their use?
EVIDENCE-BASED prACTICE rECOMMENDATIONS - EB Medicine The Sgarbossa Criteria takes into account the probability of a STEMI in patients with an old left bundle-branch block with each of the criterion:95 1) ST-segment -elevation ≥ 1 mm in a lead with an upward QRS complex (5 points) 2) ST-segment depression ≥ 1 mm in V1, V2, or V3 (3 points)
EB Medicine Site Search EB Medicine publishes Emergency Medicine Practice, EM Practice Guidelines Update, and Pediatric Emergency Medicine Practice - monthly CME journals designed to help physicians improve patient care through evidence-based medicine
Emergency Department Management of Non–ST-Segment Elevation Myocardial . . . When patients present to the ED with suspected myocardial infarction, it is critical to differentiate NSTEMI from other cardiac causes and initiate swift, evidence-based management Review the latest evidence on diagnosis and treatment of NSTEMI