Wednesday, June 7, 2017 • 08:30 – 10:30
Track 5 – CARDIOLOGY
High-sensitivity Cardiac Troponins: Not Your parents' Cardiac Biomarker - Dr. Andrew McRae
This presentation will focus on the differences between high-sensitivity and conventional troponin assays, and the optimal utilization of high-sensitivity troponins to facilitate safe, accurate and rapid ED evaluations of patients with suspected acute coronary syndromes.
- Appreciate practical differences between conventional and high-sensitivity troponins for the evaluation of ED patients with suspected AMI
- Understand current best evidence for incorporating high-sensitivity troponins into ED practice
- Understand limitations of high-sensitivity troponins in the assessment of patients with suspected ACS
Atrial Fibrillation - Dr. Clare Atzema
The top 10 things that ED physicians need to know about atrial fibrillation, including the use of NOACs, will be discussed.
- Review the changes in the 2016 AF management guidelines
- Review the key issues that need to be addressed prior to discharging an AF patient from the ED
- Examine the evidence for ED physician prescribing of anticoagulation, and address when to use each DOAC, vs warfarin
|LO96 – Syncope prognosis based on emergency department diagnosis: A prospective cohort study||Dr. Cristian Toarta|
|LO97 – Validation of the HEART score in Canadian emergency department chest pain patients using a high-sensitivity troponin T assay||Dr. James Andruchow|
|LO98 – Optimal length of observation for emergency department patients with syncope: A time to event analysi||Dr. Venkatesh Thiruganasambandamoorthy|
Ottawa Chest Pain Rule - Dr. Mathieu Gatien
This presentation will describe the use of a clinical decision rule to identify which ED chest patients can be removed from cardiac monitoring. The Ottawa Hospital experience in attempting to implement such a rule will also be discussed.
- Recognize the rarity of clinically important arrhythmias developing in ED chest pain patients during their ED stay
- Review a new clinical decision rule that can identify which ED chest pain patients can safely be removed from cardiac monitoring
- Understand one institution’s experience in attempting to implement such a decision rule to optimize use of this scarce resource