How should we evaluate for myocardial ischemia in a critically ill patient admitted for a non-cardiac problem? What does it mean if their troponin is elevated?
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The IBCC chapter is located here.
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Josh is the creator of PulmCrit.org. He is an associate professor of Pulmonary and Critical Care Medicine at the University of Vermont.
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this is super-cool, Josh.
loved this.
troponin. if you sneeze, twist an ankle , dizzy. it might take a while to decrease “reflex-troponins”.
but i guess that if you analyze, and just consider, the milieu in which an “elevated ” trop returns, then you are not “forced” to do anything other than think. then pursue or not pursue, depending.
liked the type1/type 2 cardiac injuries discussion as well. shall begin to follow your IBCC, too.
very cool.
thank you
tom
True, checking a trop doesn’t force you do to anything about it (this is actually a really important point). Unfortunately, many providers will be compelled to chase it anyway.
It’s interesting and helpful. Can you explain more about this “If hypertensive, consider addition of a beta-blocker.” In Type-2 MI, you know, we don’t have any evidence about using BBs ( when, how long, type of BBs, …), like type-1, So, how do you use it in practice ?
Hi— thanks for all you do. Do we happen to know if there’s a way to listen to old episodes through an app? I wanted to relisten to some episodes but cannot get them on my podcast apps— it stops at episode 20. Thanks