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Publication news from our Emergency Cardiology Group

The Emergency Cardiology Group

It’s been a ridiculously busy year for all of us and I haven’t really had any time to update the blog for the last six months!

So I plan to do a series of posts to bring things up to date with a lot of the work that we have been doing.

First was to update our bibliography, which in itself accounts for a big part of the reason why none of us have had time to post on the blog.

Check out the updated list of publications here.

I’m also in the process of updating the ‘In Press…’ page.

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FOAM4GP

OK, low risk chest pain in the GP clinic setting.  It can be a vexing issue – we always worry about the big, bad diseases we might be missing – but is there a risk (and logistical headache) in doing a thorough workup and serial enzymes / Troponins on all chest pains?

It kinda depends where you practice as to how you will play this one.

Here is a discussion with a few super Smart GP registrars all over the country.
click HERE to listen to the 35 minute brain storm on the topic.

My bottom line – you need to define your background / pre-test probability of badness before embarking on investigation pathways that can lead to invasive, expensive and unpleasant tests in low risk patients.

Enjoy and comment on this is very welcome – there is certainly no right answer here!

Casey

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The Emergency Cardiology Group

A/Prof Louise Cullen writes…

The minefield of differences in troponin assays confuses clinicians, in an area of medicine that is already complex. Determining which patients presenting to Emergency Departments (EDs) with symptoms of possible Acute Coronary Syndromes actually have this underlying diagnosis is challenging. Current guidelines recommend lengthy assessment processes generally not achievable in acceptable time frames for patients to remain in the ED, and thus encourage Emergency Physicians to admit ‘all’ who present with possible symptoms of ACS.

Add to this mix the variability in analytical characteristics between troponin assays and information on change values (deltas) and it seems to many clinicians that this is simply getting too tough.

Our latest paper Delta troponin for the early diagnosis of AMI in emergency patients with chest pain’ in the International Journal of Cardiology highlights how early (0 and 2hr post ED presentation) troponin values may be used to…

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Have been shamefully absent without leave for the last two weeks and therefore blown my 2 blogs a week resolution.

Anyway the good news is

1. I have been writing and finalising some ‘real’ papers for ‘real’ journals so should hopefully be able highlight some interesting stuff in the JACC and the Med J Australia in next few weeks/months.

2. Have clocked >100km in the saddle for the 3 weeks in succession

3. The #CSANZ2012 hash tag has been born and deserves to be followed by all interested in this years meeting that I have already highlighted. I imagine it will pick up some steam in the next couple of months.

See you in Brisbane.