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Core IM | Internal Medicine Podcast

#31: Troponins: 5 Pearls Segment

31 min • 2 januari 2019

Solidify your knowledge on troponins and more! Quiz yourself on the 5 pearls we will be covering:

  1. What aspects of the history are concerning in a patient with a positive troponin? (4:00)
  2. What is the difference between the TIMI, GRACE, and HEART scores, and how should we use them in the evaluation of a patient with an elevated serum troponin? (8:42)
  3. How does the change in troponin over time help with diagnosis, and what should we consider in a patient with uptrending troponins but an unremarkable ECG? (14:48)
  4. What can a “negative but detectable” troponin tell you about any patient, not just those with suspected ACS? (21:31)
  5. Pearls Recap (25:26)
  6. Throwback – what are the first-line medications for alcohol use disorder? (28:36)

For full transcript of the podcast, show notes and references: https://www.coreimpodcast.com/2019/01/04/5-pearls-on-troponins/

Tags: chest pain, cardiology, myocardial infarction, acute coronary syndrome



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