Cardiac Emergencies Perspective

 
 
  • John Spertus, MD, on the Practice-Changing ISCHEMIA Trial   The ISCHEMIA investigator discusses the implications of the gasp-inducing trial comparing an invasive vs conservative medical therapy strategy in patents with stable ischemic heart disease.
  • AHA 2019Signal of Harm From Impella Has an Easy Answer Two independent observational studies find worse outcomes with the Impella device compared with intra-aortic balloon pump. The time for a randomized controlled trial is now, says John Mandrola, MD.
  • AHA 2019The ISCHEMIA Trial -- Cardiology Changes Today The AHA late-breaking trial comparing an invasive vs medical strategy for patients with stable ischemic disease validates Nobel prize-winning medical conservative Bernard Lown, writes John Mandrola, MD.
  • From Cow Manure to Sucking Venom: Snakebite Treatment Myths   Drs Robert Glatter and Benjamin Abo discuss how to properly treat snakebites, and whether the development of a universal antivenom is possible.
  • Why This Cardiologist Trained in Critical Care Medicine   Michelle O'Donoghue and Erin Bohula discuss issues in critical care cardiology, such as challenges for trainees and the need for more research to strengthen the lacking evidence base.
  • Not so Fast: How to Avoid Bias Toward Stents in Managing SIHD Channeling Daniel Kahneman's 'Thinking, Fast and Slow,' Dr Jaya Mallidi warns that inherent biases and system 1 thinking, may exaggerate the benefit of stents in SIHD and corrupt shared decision-making.
  • ESC 2019Terrorism and Mass Casualty: All Specialties Should Prepare When did you last tie a tourniquet? Melissa Walton-Shirley learns that in the event of a mass casualty attack, anyone may be called upon to be a first responder.
  • Chronic Heart Failure: The Myth of the Stable Patient   Cardiologists discuss persistent hospitalization rates and mortality among heart failure patients, despite treatment advances.
  • Memories of Hahnemann Hospital and an Unforgettable Patient News of the Philadelphia hospital's closing got Dr Andrew Wilner thinking of the crucial role it played in his education, and the strange case of one 'Mr Green.'
  • Is Cardiology Overly Enamored of New Unproven Therapies? A review of many cases where study data reversed a common medical practice highlights the need to be slow to embrace unproven therapies and faster to de-adopt ineffective ones, says John Mandrola, MD.
  • Top 5 Pitfalls in Managing Shock Dr Amal Mattu describes the most classic and common pitfalls when treating patients in shock in the ED.
  • Just Say No to the ICD in Patients With Kidney Disease Little evidence supports the use of ICDs in patients with kidney disease. A bold new study in patients on dialysis suggests that the devices should be avoided. John Mandrola, MD, weighs in.
  • Renin or Lactate to Predict Hospital Death? A new proof- of-concept study underscores the need to find a reliable marker of microvascular hypoperfusion.
  • Avoiding the 'H Bombs' in Traumatic Brain Injury   Drs Robert Glatter, Daniel Spaite, and Peter Antevy discuss results from the EPIC study and how EMS providers can improve outcomes for patients with severe head injury.
  • Conveyor Belt Medicine: Where Are the Brakes? Regional systems of care help streamline urgent care but make it difficult to halt false-positive activations in their tracks. Jaya Mallidi, MD, asks for some checkpoints along the way.
  • HRS 2019Should ICDs in Primary Prevention Go the Way of Aspirin? Do historic recommendations on ICD use for primary prevention in patients with ischemic heart failure still hold as background therapies and the patient population evolve, asks John Mandrola, MD.
  • What Is Sports Cardiology? Sports cardiology is an advancing field that encompasses the care of athletes and active individuals with known or previously undiagnosed cardiovascular conditions.
  • Interventional Cardiology: Physician and Proceduralist 'I do not want to be known as a high- or a low-volume operator,' writes, Jaya Mallidi, MD, in a plea for her field to value critical thinking as much as it celebrates the latest Impella case.
  • Life and Times of Leading Cardiologists: Holger Thiele   Holger Thiele's career in cardiogenic shock began in West Berlin where he witnessed the fall of the wall and moved to Leipzig to pursue cardiology. This former ironman still bikes to the hospital.
  • Three Must-Read Emergency Medicine Articles From 2018 Dr Amal Mattu discusses his picks for the most important emergency medicine literature of the past year. What are your picks?