CardioExchange Archive

February 2nd, 2015

Selections from Richard Lehman’s Literature Review: February 2nd

Richard Lehman, BM, BCh, MRCGP

This week’s topics include less-tight vs. tight hypertension control in pregnancy, icatibant for ACE-inhibitor-induced angioedema, and more.

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September 8th, 2014

Anteroseptal MI and Left-Main Dissection in a Pregnant Woman

Harsh Golwala, MD and James Fang, MD

Harsh Golwala presents our latest case: A 25-year-old woman, 32 weeks pregnant, presents with sudden-onset chest pain. How do you proceed?

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November 26th, 2013

Little Difference in Chest Pain Between Men and Women

Larry Husten, PHD

In recent years, the medical community has grown increasingly concerned that women with heart attacks may be less likely to receive prompt and effective treatment. The difference between the sexes in the presentation of symptoms is thought to be a major barrier to better treatment for women. But now a study published in JAMA Internal Medicine finds that […]

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November 25th, 2013

A 2-Hour Diagnostic Protocol for Assessing Chest Pain in the ED

Martin Than, MBBS

Martin Than discusses his study group’s randomized trial comparing a 2-hour diagnostic protocol with a standard protocol for patients who report chest pain in the emergency department.

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September 18th, 2013

Younger Women with ACS Less Likely to Have Chest Pain

Larry Husten, PHD

Younger women with an acute coronary syndrome are slightly less likely than men to present with the classic symptom of chest pain, according to a new study published in JAMA Internal Medicine. In recent years there has been a growing understanding that women with ACS are less likely to have chest pain and, partly as a result, […]

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July 1st, 2013

Selections from Richard Lehman’s Literature Review: July 1st

Richard Lehman, BM, BCh, MRCGP

This week’s topics include studies on aggressive fluid and sodium restriction in acute decompensated HF, the yield of routine cardiac testing in an ED-based chest pain unit, and more.

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February 22nd, 2013

Persistent Chest Pain After Myopericarditis

John Ryan, MD, James Fang, MD, James De Lemos, MD, Kamalendu Kanu Chatterjee, MBBS,FRCP, Thomas Ryan, MD and Rick Akira Nishimura, MD

Five experts offer their perspectives on a perplexing case involving a young physician patient.

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May 29th, 2012

Two-Hour ADP Can Safely and Rapidly Discharge Low-Risk Patients

Martin Than, MBBS, John Ryan, MD and James De Lemos, MD

John Ryan, Martin Than, and James de Lemos discuss Martin’s new study, which examines the use of an accelerated 2-hour diagnostic protocol to determine which patients with chest pain in the ED are low-risk and can be discharged early.

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February 27th, 2012

Selections from Richard Lehman’s Weekly Review: Week of February 27th

Richard Lehman, BM, BCh, MRCGP

This week’s topics include a study on chest pain (or lack thereof) in patients with MI and a trial of cardiovascular family history taking.

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February 23rd, 2012

Reality Check: Do 42% of Women with AMI Present Without Chest Pain?

Harlan M. Krumholz, MD, SM

I am reading the new paper from NRMI in JAMA on the association of age and sex with AMI symptom presentation and am struck by the finding that 35% of the patients did not present with chest pain. This percentage is higher than I have seen elsewhere. In our recent studies, spanning many sites, we have […]

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