100 Questions in Cardiology by Diana Holdright, Hugh Montgomery

By Diana Holdright, Hugh Montgomery

(BMJ Books) UCL Hospitals, London, united kingdom. greater than a hundred questions are spoke back through major cardiologists. functional consultant to administration of complex occasions. For practitioners and citizens. Softcover.

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Stable angina. Qual Health Care 1998;7 100 Questions in Cardiology 37 20 What is the role of troponin T in the diagnosis and risk stratification of acute coronary syndromes? David J Brull A significant proportion of patients presenting to accident and emergency departments complain of chest pain. Early risk stratification is vital with the primary aim being to identify lifethreatening conditions such as acute coronary syndromes (ACS) and ensure their appropriate management, especially since the majority of patients have either non-cardiac chest pain or stable angina and are at low risk.

Ongoing studies such as TNT and SEARCH will provide more definitive information on this question. 5mmol/l. References 1 Scandinavian Simvastatin Survival Study Group. Randomised trial of cholesterol lowering in 4444 patients with coronary heart disease. The Scandinavian simvastatin survival study. Lancet 1994; 344: 1383–9. 2 Sacks FM, Pfeffer MA, Moye LA et al. The effect of pravastatin on coronary events after myocardial infarction in patients with average cholesterol levels. N Engl J Med 1996; 335: 1001–9.

In clinical practice this has been estimated from treadmill speed and grade but future studies may show the actual analysis of expired gases to be more accurate. 3 References 1 Morrow K, Morris CK, Froelicher VF et al. Prediction of cardiovascular death in men undergoing noninvasive evaluation for CAD. Ann Int Med 118: 689–95. 1993;1 30 100 Questions in Cardiology 2 Marks D, Shaw L, Harrell FE Jr et al. Prognostic value of a treadmill exercise score in outpatients with suspected coronary artery disease.

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