Eddy Lang

Wednesday, June 7, 2017 • 08:30 – 10:30
Track 5 – CARDIOLOGY
WCC: Garibaldi

High-sensitivity Cardiac Troponins: Not Your parents' Cardiac Biomarker - Dr. Andrew McRae

Description:

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.

Learning Objectives:

  • 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

Description:

The top 10 things that ED physicians need to know about atrial fibrillation, including the use of NOACs, will be discussed.

Learning Objectives:

  • 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

Lightning Orals

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

Description:

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.

Learning Objectives:

  • 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