CAD Prevalence TIMI Calculator: http://www.mdcalc.com/timi-risk-score-for-uanstemiTIMI Risk Index: heart rate × (age/10)2/systolic pressure
 Risk Estimates for Death/MI: from www.SMARTEM.orgLow Risk <40: 1/500 death/MI 30 days non-diagnostic or normal EKG 1.) Marsan et al. Evaluation of a Clinical Decision Rule for Young Adult Patients with Chest Pain. Acad Emerg Med. 2005; 12(1): 24-31 (n=593). 2.) Walker et al. Characteristics and Outcomes of Young Adults Who Present to the Emergency Department with Chest Pain. Acad Emerg Med. 2001; 8(7): 703-708 (n=312). 3.) Lee TH et al. Long-term survival of emergency department patients with acute chest pain. Am J Cardiol. 1992; 69:145–51 (n=333). Low Risk >40: 1/250 death/MI 30 days avg 1 Framingham RF 1.) Hollander JE, et al. Coronary computed tomographic angiography for rapid discharge of low-risk patients with potential acute coronary syndromes. Ann Emerg Med. 2009; 53:295-304.(n=568). 2.) Goldstein JA, et al. A randomized controlled trial of multi-slice coronary computed tomography for evaluation of acute chest pain. J Am Coll Cardiol. 2007;49:863-871. Moderate Risk: 1/125 death/MI Avg age 50, avg 2 Framingham RF, all admitted for nuclear stress 1.) (Mahmarian et al.) = Nabi et al. Coronary Artery Calcium Scoring in the Emergency Department: Identifying Which Patients With Chest Pain Can Be Safely Discharged Home. Ann Emerg Med. 2010; 56(3): 220-9 Goldman Algorithm |
Cardiology >
Acute Coronary Syndromes
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5094k | v. 1 | Sep 29, 2014, 2:09 PM | Kit Tainter | ||
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989k | v. 1 | Nov 15, 2014, 9:41 AM | Kit Tainter | ||
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438k | v. 1 | Nov 27, 2014, 12:37 PM | Kit Tainter | ||
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782k | v. 1 | Jul 30, 2015, 12:18 AM | Kit Tainter | ||
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Prevalence greatly overestimated by ACC/AHA Guidelines (14,000 ED pts) | 2635k | v. 2 | Dec 2, 2011, 7:59 AM | Kit Tainter | |
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228k | v. 1 | Jun 19, 2014, 8:42 AM | Kit Tainter | ||
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867k | v. 1 | Aug 29, 2015, 11:29 PM | Kit Tainter | ||
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Likelihood ratios for history and exam findings in ACS | 159k | v. 1 | Aug 17, 2015, 3:13 PM | Kit Tainter | |
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PCI equal to medical therapy for stable angina | 319k | v. 1 | May 11, 2011, 5:12 AM | Kit Tainter | |
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814 pts, EST + cath, 45% sensitivity, 85% specificity for CAD > 50% stenosis | 1046k | v. 2 | Feb 8, 2012, 12:28 PM | Kit Tainter | |
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59k | v. 1 | Apr 3, 2012, 6:44 AM | Kit Tainter | ||
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388k | v. 1 | Dec 6, 2013, 12:37 PM | Kit Tainter | ||
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212k | v. 1 | Jul 26, 2015, 1:44 PM | Kit Tainter | ||
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14.9%, 10.9%, 7.9%, 5.3%, 4.2%, and 3.6% for patients with 0, 1, 2, 3, 4, and 5 risk factors | 221k | v. 1 | Dec 1, 2011, 12:22 PM | Kit Tainter | |
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1128k | v. 1 | Apr 4, 2011, 3:11 PM | Kit Tainter | ||
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576k | v. 1 | Dec 8, 2014, 6:25 PM | Kit Tainter | ||
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1671k | v. 1 | Jul 12, 2015, 10:47 AM | Kit Tainter | ||
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10,689 pts, 894 (8%) MI using CKMB, 19 (2%) missed MI at 24-72 hrs (0.18% overall miss rate), no stat sig diff in outcome. This is the source that is constantly referenced. | 113k | v. 3 | Feb 4, 2012, 1:21 PM | Kit Tainter | |
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182k | v. 1 | Apr 23, 2016, 9:19 PM | Kit Tainter | ||
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90k | v. 1 | Apr 23, 2016, 9:20 PM | Kit Tainter | ||
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162k | v. 1 | Apr 20, 2012, 4:56 PM | Kit Tainter | ||
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224k | v. 1 | Nov 3, 2010, 5:26 PM | Kit Tainter | ||
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78k | v. 1 | Oct 22, 2010, 11:53 AM | Kit Tainter | ||
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258k | v. 1 | Jan 19, 2012, 1:35 PM | Kit Tainter |