Welcome to the second edition of the The NUEM Blog Top 5! Every other week we will be releasing a post highlighting both fresh and landmark studies in emergency medicine relevant to your practice. We will feature recommendations from our brightest senior emergency medicine residents as well as from esteemed Northwestern Emergency Medicine faculty members. We recommend downloading the program Read to assist with archiving not only our recommended literature but also any article you come across to allow for easy access and viewing on multiple devices. You can also follow our Read Collection so you never miss an article.
Top 5 Papers For Acute Coronary Syndrome
From Mike Macias, NUEM PGY-4
A deep dive into the pathophysiology of coronary plaque development and rupture, guaranteed to inform you of things you probably didn't know about coronary syndromes.
Diagnosis of ST-elevation myocardial infarction in the presence of left bundle branch block with the ST-elevation to S-wave ratio in a modified Sgarbossa rule. Ann Emerg Med 2012
Beyond the Sgarbossa criteria, this modified rule will pick up more patients that need the cath lab now!
Patients without ST elevation after return of spontaneous circulation may benefit from emergent percutaneous intervention: A systematic review and meta-analysis. Resuscitation 2016
Nearly one third of patients who have been successfully resuscitated from cardiopulmonary arrest without ST elevation on ECG have an acute lesion that would benefit from emergent percutaneous coronary intervention.
Does This Patient With Chest Pain Have Acute Coronary Syndrome?: The Rational Clinical Examination Systematic Review. JAMA 2015
Traditionally held beliefs about ACS presentation may not be true. This systematic review discusses cutting edge diagnosis and risk-stratification strategies ready to incorporate into your practice.
This is an ECG finding that you cannot miss...and your cardiologists might not even known about it!
See you in two weeks.
Feel free to post any questions or comments on what you like and what we can do better... or spark up a conversation about an article. If you think you have something worth reading that is not mentioned, shoot us an email and we will look into it.