How to Diagnosis a Stuttering Chest Pain in the ED

Solidify your knowledge on troponins and more! Quiz yourself on the 5 pearls we will be covering:

1. What aspects of the history are concerning in a patient with a positive troponin? (4:00)
2. What is the difference between the TIMI, GRACE, and HEART scores, and how should we use them in the evaluation of a patient with an elevated serum troponin? (8:42)
3. How does the change in troponin over time help with diagnosis, and what should we consider in a patient with uptrending troponins but an unremarkable ECG? (14:48)
4. What can a “negative but detectable” troponin tell you about any patient, not just those with suspected ACS? (21:31)
5. Pearls Recap (25:26)
6. Throwback – what are the first-line medications for alcohol use disorder? (28:36)

For full transcript of the podcast, show notes and references: https://www.coreimpodcast.com/2019/01/04/5-pearls-on-troponins/

Tags: chest pain, cardiology, myocardial infarction, acute coronary syndrome

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