Monthly Archives: September 2011

4. How reassuring is a recent (< 1 year) negative stress test in managing a patient with chest pain? How about a recent “normal” cath (i.e., < 30% blockage, no intervention)? In a word (or two): not very. The problem … Continue reading →

3.  How do you risk stratify patients with chest pain?  Do you use any clinical decision rules? It’s a daily ED conundrum: how concerning is this patient’s chest pain? This most common, yet challenging, clinical quandary is not an insignificant one … Continue reading →

2.  How do you identify and manage patients with unstable angina? Patients with unstable angina (UA) are  on the same ACS spectrum as NSTEMIs and STEMIs.  Unstable angina is defined as either angina at rest, new onset (< 2 months) … Continue reading →

NB: For this topic, perhaps the most researched in all of modern medicine, we are going to break up the answers to avoid dyspepsia. Our apologies for the extra emails. 1.     What anti-coagulants and/or anti-platelet agents do you use in … Continue reading →