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

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The Center for Medical Education

The Center for Medical Education

3 жыл бұрын

Chest Pain Risk Stratification by Amal Mattu, MD
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Пікірлер: 39
@Crescent-Adam
@Crescent-Adam 3 жыл бұрын
Dr Amal Mattu is a living legend!!
@ebull666
@ebull666 Жыл бұрын
Makes what could be a very dry topic more entertaining than Brooklyn 911
@christinawells2024
@christinawells2024 3 жыл бұрын
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
@ahmedmusa3632 2 жыл бұрын
They wouldn't get the cath straight away though do they?
@christinawells2024
@christinawells2024 2 жыл бұрын
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
@Drtay149 8 ай бұрын
Yes, that is basically the concept of unstable angina. Well done!
@DrRussell
@DrRussell 10 ай бұрын
This is saving lives. Thank you Dr Mattu and the CME team.
@altaf123231
@altaf123231 3 жыл бұрын
One of the best lectures by dr. Amal matti.
@ahmedshewy2254
@ahmedshewy2254 3 жыл бұрын
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
@mohdanasmohdnor1608 Жыл бұрын
O point=0 component 1 point=1 component 2 points =>1 component
@sharifmusevi6140
@sharifmusevi6140 3 жыл бұрын
Fantastic lecture
@beenjammin8581
@beenjammin8581 2 жыл бұрын
Thanks for sharing!
@omogaderrick4379
@omogaderrick4379 3 ай бұрын
Wow. Just wow. The dissection of details, and granularity, is impeccable.
@tamaraal-tayee6762
@tamaraal-tayee6762 3 жыл бұрын
All Dr,Mattu lectures are amazing ,thanks doctor
@thepalettewhispererasmr1227
@thepalettewhispererasmr1227 2 жыл бұрын
He was built for this. I could literally listen to Dr Dr Mattu all freaking day long
@azerbaycaniranturkubozgurt6101
@azerbaycaniranturkubozgurt6101 3 жыл бұрын
Great .thanks
@ansabjalil
@ansabjalil 3 жыл бұрын
An excellent lecture as always by Dr mattu. He is great doctor and know how to get the message across.. Kudos
@edreesalqutel8002
@edreesalqutel8002 3 жыл бұрын
Nice work. .....
@adlesal24
@adlesal24 3 жыл бұрын
dr mattu is non except brilliant lecturer who makes things more simple and stratified
@marijakostic666
@marijakostic666 3 жыл бұрын
Excellent 👏
@yasiraslam7490
@yasiraslam7490 3 жыл бұрын
Best speaker
@tessiepenequito5389
@tessiepenequito5389 Жыл бұрын
Interesting topic. Thank you Dr. Mattu for sharing. 46:50
@tessiepenequito5389
@tessiepenequito5389 Жыл бұрын
1 y ago
@jojobean20121
@jojobean20121 2 жыл бұрын
So would the case you mentioned be picked up as her heart score is less than 3 for that case?
@thepalettewhispererasmr1227
@thepalettewhispererasmr1227 2 жыл бұрын
I f'ing love this guy!!!!!!!!
@RejathBenny
@RejathBenny 2 жыл бұрын
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
@davantlag2000 2 жыл бұрын
You need troponins as a comparison. As you have to build a troponins curve, you need a value on arrival
@RejathBenny
@RejathBenny 2 жыл бұрын
@@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
@DrRussell 10 ай бұрын
@@RejathBennymakes me realise how fortunate I am to work in the UK where I have sufficient freedom to perform serial troponins as needed.
@DrRussell
@DrRussell 10 ай бұрын
@@RejathBennyare you using high sensitivity troponin?
@drpolefit6271
@drpolefit6271 8 ай бұрын
But CKMB is more important than TPI as it appears sooner in the blood
@luly2323
@luly2323 Жыл бұрын
Guidelines do no supersede physician judgement!
@koogee
@koogee 3 жыл бұрын
Ive never heard somebody pronounce Angina like him
@ahmediqbalsheik9246
@ahmediqbalsheik9246 2 жыл бұрын
ALHAMDULLILAH
@luly2323
@luly2323 Жыл бұрын
All smokers have ischemia…. If not today , tomorrow or next week.
@999Patriots
@999Patriots Жыл бұрын
A jury is twelve ignorant people who we tell, “None of you were there, tell us what happened.”
@luly2323
@luly2323 Жыл бұрын
Moral of the story ….. get rid of guidelines.
@solomonmulinya6866
@solomonmulinya6866 2 жыл бұрын
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