INTERVIEW
This finding will really be helpful to patients as they will know sooner
and not have to wait hours for some determination.
We know—and again, we have the benefit of knowing from the European
experience—that one may be able to successfully complete the process of
ruling in or ruling out within just a few hours. The data for highly sensitive
troponin show that patients are more often than not positive at presentation,
and soon after presentation. One recent study, called the TRAPID-AMI Study,
showed that within 1 hour you can see a significant delta, a significant rise in
those patients destined to have an MI. So, by using a rapid rule-out or rule-in
strategy, three quarters of patients can have a disposition within an hour.
That’s got to remove some stress from the patient, because it’s not a
happy thing to be in the hospital in the first place if you’re wondering
whether you had a heart attack.
Certainly not. And it also adds a lot of relief to the emergency department
setting in terms of making decisions, whether a patient should or should not
be triaged in or out.
I think, if anything, the initial reaction from
To watch the full ACC.15
cardiologists will be somewhat of concern, maybe
interview with James Jannuzzi, Jr., MD, on the CSWN
frustration, because now we can see things that
YouTube channel, scan the
we hadn’t seen before. However, you talk to the
code.
Europeans and they say, “Do not take this away
from us. We love it. We’ve learned a lot, and we’ve
changed our practice styles because we now can
detect things that we weren’t able to before.” That
can only improve care in the end. ■
Medical Director of Cardiology Services
Billings, Montana
Seeking a cardiologist physician leader for a newly-created and
exciting role to lead and further develop our comprehensive
inpatient and outpatient cardiac program – located in beautiful
Big Sky country – Billings, Montana
• Lead team of cardiologists to develop a strong regional
Cardiovascular Center, including outreach to surrounding
communities across a broad geography
• St. Vincent Healthcare recognized in Modern Healthcare
by Truven Health Analytics as one of the top 50 performing
hospitals for Cardiovascular Care
• Billings, Montana rated by Kiplinger as one of the top 10
places to live, a wonderful community to live and raise a
family
• Hike, golf, ski, fish, bike, camp and enjoy the extensive beauty and outdoor opportunities the region offers year round
• For more information, please contact Carrie Ballard, Physician Recruiter at (406) 237-4002 [email protected]
Melki D, Lugnegård J, Alfredsson J, et al. J Am Coll Cardiol.
2015;65(16):1655-64.
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Echocardiography
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