Chest Pain Risk Stratification | The Heart Course W/ Amal Mattu, MD

Chest Pain Risk Stratification by Amal Mattu, MD
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[@Crescent-Adam]

Dr Amal Mattu is a living legend!!

[@christinawells2024]

I’m a cardiology mid level. Anytime I saw a patient in the clinic with suspected unstable angina and sent them to the ER, I’d call over and tell the doc that her EKG and trops are likely to be negative. Not that I’m great or anything (my supervising physician taught me extremely well) but every time those patients went on to the Cath lab to get stents. And most of the time their EKG wasn’t impressive and trops were negative. This is a great lecture!!

[@ahmedmusa3632]

They wouldn't get the cath straight away though do they?

[@christinawells2024]

It really depends on what the symptoms are, their history, etc. with unstable angina, we usually did take them to the Cath lab, but again depending on the patient and their history, sometimes a nuclear stress or coronary CTA would be done first.

[@Drtay149]

Yes, that is basically the concept of unstable angina. Well done!

[@omogaderrick4379]

Wow. Just wow.
The dissection of details, and granularity, is impeccable.

[@ansabjalil]

An excellent lecture as always by Dr mattu. He is great doctor and know how to get the message across.. Kudos

[@adlesal24]

dr mattu is non except brilliant lecturer who makes things more simple and stratified

[@tamaraal-tayee6762]

All Dr,Mattu lectures are amazing ,thanks doctor

[@thepalettewhispererasmr1227]

He was built for this. I could literally listen to Dr Dr Mattu all freaking day long

[@altaf123231]

One of the best lectures by dr. Amal matti.

[@DrRussell]

This is saving lives. Thank you Dr Mattu and the CME team.

[@sharifmusevi6140]

Fantastic lecture

[@Ahdbfbfbeh]

Thanks for sharing!

[@yasiraslam7490]

Best speaker

[@ahmedshewy2254]

H in HEART score is composed from 4 parts
1.chest pain with diaphoresis
2.chest pain with vomiting not nausea or lightheadedness.
3.chest pain with exertion.
4.chest pain radiates to either right or left side.
Q: How many points of this 4 point to said the history is (highly suspicious) , (moderately suspicious) or (slightly or non suspicious) ?

[@mohdanasmohdnor1608]

O point=0 component
1 point=1 component
2 points =>1 component

[@edreesalqutel8002]

Nice work. .....

[@azerbaycaniranturkubozgurt6101]

Great .thanks

[@RejathBenny]

Great lecture but one question. Why do we have to do the troponin on arrival when we know that troponins will be positive in an MI only after about 4 to 6 hrs from the onset of index pain ?

[@davantlag2000]

You need troponins as a comparison. As you have to build a troponins curve, you need a value on arrival

[@RejathBenny]

@@davantlag2000 Thank you. I work in a set up that caters mostly to people from a lower socio economic strata. Even though the protocols are to do serial troponins, I try my best to limit it to serial ecgs and a single trop i. Repeat quantitative trop i's are send only if the the card test is positive or if the symptoms and other lab works do not correlate with the primary trop i

[@DrRussell]

@@RejathBennymakes me realise how fortunate I am to work in the UK where I have sufficient freedom to perform serial troponins as needed.

[@DrRussell]

@@RejathBennyare you using high sensitivity troponin?

[@drpolefit6271]

But CKMB is more important than TPI as it appears sooner in the blood

[@luly2323]

Guidelines do no supersede physician judgement!

[@jojobean20121]

So would the case you mentioned be picked up as her heart score is less than 3 for that case?

[@999Patriots]

A jury is twelve ignorant people who we tell, “None of you were there, tell us what happened.”

[@luly2323]

All smokers have ischemia…. If not today , tomorrow or next week.

[@koogee]

Ive never heard somebody pronounce Angina like him

[@ahmediqbalsheik9246]

ALHAMDULLILAH

[@solomonmulinya6866]

,

[@ebull666]

Makes what could be a very dry topic more entertaining than Brooklyn 911

[@tessiepenequito5389]

Interesting topic. Thank you Dr. Mattu for sharing. 46:50

[@tessiepenequito5389]

1 y ago

[@thepalettewhispererasmr1227]

I f'ing love this guy!!!!!!!!

[@luly2323]

Moral of the story ….. get rid of guidelines.

[@marijakostic666]

Excellent 👏