Cardiology Corner: Clinical Decision Instruments

00:00
11:55
Sign in or subscribe to listen

No me gusta!

The flash player was unable to start. If you have a flash blocker then try unblocking the flash content - it should be visible below.

Nurses Edition Commentary

Kathy Garvin, RN and Lisa Chavez, RN
00:00
01:39

No me gusta!

The flash player was unable to start. If you have a flash blocker then try unblocking the flash content - it should be visible below.

Mike J., M.D. -

I think the direct comparison of TMACS, EDAC and HEART is a bit misleading. They use different testing. T-Macs is predicated on a high sensitivity troponin. EDAC-ADP doesn't say which troponin they used, but excludes patients with ongoing pain.

Highlighting the concepts of knowing how the rule was derived and applied. I.e. how many folks know that the risk factors in HEART include a BMI>30?

Pragmatically, I think HEART, while more subjective in some ways, may be the most well validated and associated with the least risk.

Mike J.

Mary C. -

Similar to above - my ED is not yet using high-sensitivity troponin, so I would assume I would not use the T-MACS until this happens. Is the EDACS based on traditional or high-sensitivity troponin? Sorry if you addressed this and I missed it.

Amal M. -

TMACS uses hs-TN. I'm not using that since we don't have hs-TN yet.
EDACS used conventional TN.
Agree with you and also Mike's comment, we need to use the studies exactly as they were validated. We primarily use HEART but it's good to have and know about options.

To join the conversation, you need to subscribe.

Sign up today for full access to all episodes and to join the conversation.

To download files, you need to subscribe.

Sign up today for full access to all episodes.
EM:RAP 2020 October Full episode audio for MD edition 194:44 min - 204 MB - M4AEM:RAP 2020 October Farsi Edition Farsi 159:42 min - 219 MB - MP3EM:RAP 2020 October German Edition Deutsche 100:33 min - 138 MB - MP3EM:RAP 2020 October PA Edition PA Edition 36:46 min - 50 MB - MP3EM:RAP 2020 October Spanish Edition Español 75:34 min - 104 MB - MP3EM:RAP 2020 October Aussie Edition Australian 0:49 min - 1 MB - MP3EM:RAP 2020 October Canadian Edition Canadian 22:08 min - 30 MB - MP3EM:RAP 2020 October French Edition Français 21:41 min - 30 MB - MP3EMRAP_2020_10_October_Vol.20 Written Summary 446 KB - PDFEM:RAP 2020 October Board Review Answers 198 KB - PDFEM:RAP 2020 October Board Review Questions 628 KB - PDFEM:RAP 2020 October MP3 Files 249 MB - ZIP