A 0h/1h protocol for safe early discharge of chest pain patients

A 0h/1h protocol for safe early discharge of chest pain patients

Objectives Guidelines recommend a 0-hour/1-hour high-sensitivity cardiac troponin T (hs-cTnT) diagnostic strategy in acute chest pain patients. There are, however, little data on the performance of this strategy when combined with clinical risk stratification. We aimed to evaluate the diagnostic accuracy of an accelerated diagnostic protocol (ADP) using the 0-hour/1-hour hs-cTnT strategy together with an…

Effects of oxygen therapy on wall motion score index in patients with ST Elevation Myocardial Infarction – The randomized SOCCER trial

Effects of oxygen therapy on wall motion score index in patients with ST Elevation Myocardial Infarction – The randomized SOCCER trial

Background Although oxygen (O2 ) is routinely used in patients with acute myocardial infarction (AMI), it may have negative effects. In this substudy of the SOCCER trial, we aimed to evaluate the effects of O2 -treatment on myocardial function in patients with ST elevation myocardial infarction (STEMI). Methods Normoxic (≥94%) STEMI patients were randomized in…

The Increase of Firearm Related Violence in Sweden

The Increase of Firearm Related Violence in Sweden

Firearm-related violence is common in our contemporary world and causes serious harm to humans as well as to the society. One of the countries in which firearm-related violence is increasing is Sweden and its most southern region, Skane, in which Malmo, Sweden’s third largest city, is highly affected. If not contained and limited, Sweden risks…

A simplified left ventricular end-diastolic mean wall thickness-to-volume ratio estimated from left ventricular mass and end-diastolic volume distinguishes physiological from pathological hypertrophy
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A simplified left ventricular end-diastolic mean wall thickness-to-volume ratio estimated from left ventricular mass and end-diastolic volume distinguishes physiological from pathological hypertrophy

Left ventricular end-diastolic mean wall thickness (LVEDMWT) can be simply estimated from left ventricular mass and left ventricular end-diastolic volume with high accuracy and precision. Estimated LVEDMWT can in turn be used to calculate thickness-to-volume ratio (TVR) as a new index of relative wall thickness. The maximum TVR found in endurance athletes was lower than…

Effect of oxygen therapy on myocardial salvage in ST elevation myocardial infarction: The randomized SOCCER trial

Effect of oxygen therapy on myocardial salvage in ST elevation myocardial infarction: The randomized SOCCER trial

Objective Recent studies suggest that administration of O2 in patients with acute myocardial infarction may have negative effects. With the use of cardiac MRI (CMR), we evaluated the effects of supplemental O2 in patients with ST elevation myocardial infarction (STEMI) accepted for acute percutaneous coronary intervention (PCI). Materials and methods This study was a randomized-controlled…

The fires in Malmö require national measures [Swedish]
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The fires in Malmö require national measures [Swedish]

Today it is Malmö that is on fire. Tomorrow it may be your city. What is happening now in Malmö is a national matter and requires action at the national level. Change the practice of arrest and detention and establish emergency courts for young individuals under 18 years of age. These are two of several…

Diagnostic Accuracy of High-Sensitivity Cardiac Troponin T at Presentation Combined With History and ECG for Ruling Out Major Adverse Cardiac Events

Diagnostic Accuracy of High-Sensitivity Cardiac Troponin T at Presentation Combined With History and ECG for Ruling Out Major Adverse Cardiac Events

Study objective We evaluate the diagnostic accuracy of a high-sensitivity cardiac troponin T (hs-cTnT) level less than 5 ng/L or less than or equal to 14 ng/L at emergency department (ED) presentation, combined with the emergency physician’s assessment of history and ECG, for ruling out major adverse cardiac events within 30 days. Methods This prospective…