Author response to comments regarding ‘ST depression in lead aVL differentiates inferior ST elevation myocardial infarction from pericarditis’
Johanna Bischof, Stephen W. Smith
DOI: http://dx.doi.org/10.1016/j.ajem.2016.04.019
Publication stage: In Press Accepted Manuscript
xWe thank Dr. Cerlik very much for his comments relating to our paper, ‘ST depression in lead aVL differentiates inferior ST elevation myocardial infarction from pericarditis.’ Our aim with this paper was to identify a sensitive and specific finding to differentiate inferior STEMI from pericarditis in the acute clinical context of the emergency department. We found that any ST depression in aVL was highly sensitive and specific in this setting, and is a very useful clinical tool to quickly identify patients who require immediate cardiac catheterization.
Adropın levels and target organ damage secondary to Hıgh blood pressure in emergency department
Bedia Gulen, Cenker Eken, Okkes Taha Kucukdagli, Mustafa Serinken, Abdurrahim Kocyigit, Elif Kılıc, Hüseyin Uyarel
DOI: http://dx.doi.org/10.1016/j.ajem.2016.04.014
Publication stage: In Press Accepted Manuscript
xHypertension (HT) is the most important risk factor for cardiovascular diseases, and ranks 4th among the most frequently seen medical conditions. Nearly 75% of hypertensive USA population can not maintain their blood pressures at 140/90 mm Hg, and consequently many patients present to the emergency department (ED) because of high blood pressure. Most scaring complication of hypertension is hypertensive emergency which defined as large elevations in SBP or DBP (>180 mmHg or >120 mmHg, respectively) associated with impending or progressive OD, such as major neurological changes, hypertensive encephalopathy, cerebral infarction, intracranial haemorrhage, acute LV failure, acute pulmonary oedema, aortic dissection, renal failure, or eclampsia [1].
Healthcare-associated acute pyelonephritis is associated with inappropriate empiric antibiotic therapy in the emergency department
Seong Yeon Park, Won Sup Oh, Yeon-Sook Kim, Joon Sup Yeom, Hee Kyoung Choi, Yee Gyung Kwak, Jae-Bum Jun, Jin-Won Chung, Ji-Young Rhee, Baek-Nam Kim
DOI: http://dx.doi.org/10.1016/j.ajem.2016.04.018
Publication stage: In Press Accepted Manuscript
xAcute pyelonephritis (APN) is one of the most common bacterial infections. Because healthcare-associated (HCA) infections in the community setting have similar characteristics to hospital-acquired infections, HCA infections should be distinguished from community-acquired (CA) infections. However, the impact of HCA-APN on treatment outcomes has not been clearly defined. This study aimed to analyze the impact of HCA-APN on the appropriateness of empiric antibiotic therapy and outcomes in community-onset APN.
Outcomes of emergency department placement of transvenous pacemakers
Nicole Piela, Steven Kornweiss, Alfred Sacchetti, Amanda Gallagher, Allen Abrams
DOI: http://dx.doi.org/10.1016/j.ajem.2016.04.017
Publication stage: In Press Accepted Manuscript
xPlacement of TVPs is a core EM procedure. Despite this, there is no specific outcome data on this procedure in the ED setting. This study examines the success of Emergency Physician (EP) attempted TVPs as well as their hospital courses and survivals.
A clinical score to obviate the need for cardiac stress testing in patients with acute chest pain and negative troponins
Alberto Bouzas-Mosquera, Jesús Peteiro, Francisco J. Broullón, Nemesio Álvarez-García, Nicolás Maneiro-Melón, Patricia Pardo-Martinez, Marta Sagastagoitia-Fornie, Dolores Martínez, Juan C. Yáñez, José Manuel Vázquez-Rodríguez
DOI: http://dx.doi.org/10.1016/j.ajem.2016.04.016
Publication stage: In Press Accepted Manuscript
xAlthough cardiac stress testing may help establish the safety of early discharge in patients with suspected acute coronary syndromes and negative troponins, more cost-effective strategies are necessary. We aimed to develop a clinical prediction rule to safely obviate the need for cardiac stress testing in this setting.
