AFP: American Family Physician Podcast Episode 219 -- December 2024 -- Part 1 AFP: American Family Physician
Dec 16, 2024
Dive into the critical world of noninvasive cardiac testing and its role in acute coronary syndrome assessment. Discover the benefits and risks of SGLT2 inhibitors for diabetes and chronic kidney disease. Explore the implications of recent changes in opioid prescribing policies and the increased cardiovascular risks in children with hypertension. Learn about managing premenstrual disorders while enjoying humorous takes on holiday safety and quirky winter injuries. Get ready for insights that blend health with a sprinkle of festive fun!
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Non-Invasive Cardiac Testing for Stable Chest Discomfort
- Use the CAD Consortium 2 tool for patients with stable chest discomfort to stratify cardiovascular risk.
- For low-risk patients, consider a coronary calcium score or exercise stress test without imaging.
Non-Invasive Cardiac Testing for Acute Chest Discomfort
- Use the HEART Pathway for patients with acute chest discomfort to determine appropriate testing.
- High-risk patients should be referred for coronary angiography; intermediate-risk patients require further testing.
Limitations of Non-Invasive Cardiac Tests
- No single non-invasive cardiac test has perfect diagnostic accuracy (likelihood ratios >10 or <0.1).
- Consider factors like availability, cost, and radiation exposure when choosing a test.