Consider upgrading your Valsalva manoeuvre for supraventricular tachycardia. Don't believe it will work? Read our analysis of the REVERT trial for yourself and let us know what you think!
Journal Club: Coronary CT Angiography Versus Traditional Care
Coronary CT Angiography (CCTA) has shown promise in three major randomized controlled trials evaluating its safety in risk-stratifying low- to intermediate-risk patients. Additionally, CCTA-based screening was shown to increase rate of discharge directly from the ED, and decreased length of stay. The study discussed in this Journal Club Review contributes to the growing body of evidence regarding use of CCTA and its role in screening patients with lower risk chest pain.
Beta Blocker Toxicity
Beta-blockers are the fifth most commonly prescribed medication in US and are frequently involved in potentially fatal single or multi-drug ingestions. Cardiovascular drugs as a whole are the 2nd most common culprit of adult death from all overdoses.
Risk Analysis of Pulmonary Embolism by CT Imaging
In CT imaging for acute pulmonary embolism, what can we infer from a radiologist’s comments about the right heart in terms of risk stratification and management?
The Achy Breaky Heart
In 1990, only two years before singer Billy Ray Cyrus revealed his cardiac myocytes to be “achy breaky”, Japanese scientists first described a pathophysiologic mechanism for a common condition which has, for centuries, plagued philosophers and poets, cardiologists and lyricists alike: the broken heart.
The Utility of D-Dimer in Non-Traumatic Aortic Dissection
Acute aortic dissection is a potentially catastrophic cardiovascular disease, and is a somewhat rare but exceedingly important diagnosis to make. A low-risk, cost-efficient diagnostic test with the ability to reliably exclude this disease would be useful. Is the D-dimer that test?
Pulmonary Embolism In Pregnancy
Diagnosing a pulmonary embolism in a pregnant patient is a situation that requires clinicians to employ a high index of suspicion. The presentation is complicated by the fact that symptoms commonly associated with PE in the non-pregnant population can be caused by normal physiologic changes of pregnancy.