Special Edition: ADP for Chest Pain with Amal Mattu

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35:43

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No me gusta!

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Brooks W. -

This is almost archeologically old, but hey.

Looking at the 2014 AHA NSTEMI guidelines (page e156), it seems like the recommendation to get a treadmill/ MPI/stress echo/CCTA is not mandated. They instead classify these tests as IIa recommendations, stating specifically that "it is reasonable" to pursue these tests. Not obligatory.

They comment that "Some protocols also call for a functional or anatomic test" after testing with troponins. That isn't very strong language! So the situation doesn't seem as perilous from a risk management perspective as you portrayed.

Pity I didn't start reading up on this until after #smaccUS - it would have been great to talk about this in person!

Thanks for all your cardiac education. You and Ken Grauer were the cornerstones of my early ECG indoctrination.

Brooks Walsh

Elizabeth S., M.D. -

Where can I find the 'shared decision making' graphic described here. It says in the blog-post...Where is that?

Connor N. -

Ditto Elizabeth S. Comment...where is the blog post???

Adam B. -

Looks like the shared decision making graphic as well as an evaluation and dispo guideline can be found here. https://blog.essentialsofem.com/2015/02/17/emrap-special-edition-a-defensible-chest-pain-adp/

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Special Edition: ADP for Chest Pain with Amal Mattu Full episode audio for MD edition 35:43 min - 34 MB - M4A