79-year-old women has severe aortic stenosis and 2-vessel coronary artery disease s/p coronary artery bypass graft who developed acute dyspnea. She was found to have chronic occlusion of her vein graft and acute thrombosis of her subclavian artery, causing diffuse cardiac ischemia and myonecrosis.
This is my first official contribution to Resus Review. I wanted to start with a follow up on my recent comment on cardiac troponin. Cardiac biomarkers, particularly troponin, have become an essential tool in the work up of patients with symptoms suggestive of ischemia in which an "AC
Its important to understand that in the US the FDA has not yet approved the high-sensitivity (hs) troponin assays. Therefore we are still talking about the so-called contemporary troponin assays. The current assay is a good test, and the high-sensitivity troponin will have even better