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Comparative Effectiveness of Coronary CT Angiography and Standard of Care for Evaluating Acute Chest Pain: A Living Systematic Review and Meta-Analysis.
Barbosa MF, Canan A, Xi Y, Litt H, Diercks DB, Abbara S, Kay FU. Barbosa MF, et al. Among authors: diercks db. Radiol Cardiothorac Imaging. 2023 Aug 24;5(4):e230022. doi: 10.1148/ryct.230022. eCollection 2023 Aug. Radiol Cardiothorac Imaging. 2023. PMID: 37693194 Free PMC article.
CONCLUSION: The results support the use of CCTA as a safe, rapid, and less expensive in the short term strategy to exclude acute coronary syndrome in low- to intermediate-risk patients presenting with acute chest pain.Keywords: Acute Coronary Syndrome, Chest Pain, Emergenc …
CONCLUSION: The results support the use of CCTA as a safe, rapid, and less expensive in the short term strategy to exclude acute coro …
Interpreting High-Sensitive Troponins in Patients with Hypertension.
McHugh MC, Diercks DB. McHugh MC, et al. Among authors: diercks db. Curr Hypertens Rep. 2022 Sep;24(9):349-352. doi: 10.1007/s11906-022-01197-2. Epub 2022 Jun 18. Curr Hypertens Rep. 2022. PMID: 35716248 Review.
While the mechanisms remain undefined, there is evidence that elevations in hs-cTn are associated with both short- and long-term morbidity and mortality. While ongoing research further defines the relationship between hypertension and hs-cTn, the emergency medicine physici …
While the mechanisms remain undefined, there is evidence that elevations in hs-cTn are associated with both short- and long-term morb …
Oral Antiplatelet Therapy Administered Upstream to Patients With NSTEMI.
Pollack CV Jr, Peacock WF, Bhandary DD, Silber SH, Bhalla N, Rao SV, Diercks DB, Frost A, Bangalore S, Heitner JF, Johnson C, DeRita R, Khan ND. Pollack CV Jr, et al. Among authors: diercks db. Crit Pathw Cardiol. 2020 Dec;19(4):166-172. doi: 10.1097/HPC.0000000000000243. Crit Pathw Cardiol. 2020. PMID: 32947379 Free PMC article.
OBJECTIVE: To describe from a noninterventional registry (Utilization of Ticagrelor in the Upstream Setting for Non-ST-Segment Elevation Acute Coronary Syndrome), the short-term ischemic and hemorrhagic outcomes in patients with non-ST elevation myocardial infarction (MI) …
OBJECTIVE: To describe from a noninterventional registry (Utilization of Ticagrelor in the Upstream Setting for Non-ST-Segment Elevation Acu …
Copeptin to rule out myocardial infarction in Blacks versus Caucasians.
Beri N, Daniels LB, Jaffe A, Mueller C, Anand I, Peacock WF, Hollander JE, DeFilippi C, Schreiber D, McCord J, Limkakeng AT, Wu AHB, Apple FS, Diercks DB, Nagurney JT, Nowak RM, Cannon CM, Clopton P, Neath SX, Christenson RH, Hogan C, Vilke G, Maisel A. Beri N, et al. Among authors: diercks db. Eur Heart J Acute Cardiovasc Care. 2019 Aug;8(5):395-403. doi: 10.1177/2048872618772500. Epub 2018 May 8. Eur Heart J Acute Cardiovasc Care. 2019. PMID: 29737180 Clinical Trial.
After controlling for age, hypertension, heart failure, chronic kidney disease and body mass index in a logistic regression model, the interaction term had a P value of 0.03. A cut-off of 6 pmol/l showed similar sensitivity in Caucasians as 14 pmol/l in Blacks. ...
After controlling for age, hypertension, heart failure, chronic kidney disease and body mass index in a logistic regression model, the inter …
Outcomes of Patients With Syncope and Suspected Dementia.
Holden TR, Shah MN, Gibson TA, Weiss RE, Yagapen AN, Malveau SE, Adler DH, Bastani A, Baugh CW, Caterino JM, Clark CL, Diercks DB, Hollander JE, Nicks BA, Nishijima DK, Stiffler KA, Storrow AB, Wilber ST, Sun BC. Holden TR, et al. Among authors: diercks db. Acad Emerg Med. 2018 Aug;25(8):880-890. doi: 10.1111/acem.13414. Epub 2018 Apr 23. Acad Emerg Med. 2018. PMID: 29575587 Free PMC article.
The objective of this study was to describe the clinical trajectory and short-term outcomes of patients who presented to the ED with syncope or near-syncope and were assessed by their ED provider to have dementia. ...
The objective of this study was to describe the clinical trajectory and short-term outcomes of patients who presented to the ED with …
The obesity paradox, extreme obesity, and long-term outcomes in older adults with ST-segment elevation myocardial infarction: results from the NCDR.
Neeland IJ, Das SR, Simon DN, Diercks DB, Alexander KP, Wang TY, de Lemos JA. Neeland IJ, et al. Among authors: diercks db. Eur Heart J Qual Care Clin Outcomes. 2017 Jul 1;3(3):183-191. doi: 10.1093/ehjqcco/qcx010. Eur Heart J Qual Care Clin Outcomes. 2017. PMID: 28838094 Free PMC article.
AIMS: To investigate the obesity paradox and association of extreme obesity with long-term outcomes among older ST-segment elevation myocardial infarction (STEMI) patients. ...Normal weight [odds ratio (OR) 0.79, 95% CI 0.68-0.90] and extremely obese (OR 0.73, 95% CI 0.54- …
AIMS: To investigate the obesity paradox and association of extreme obesity with long-term outcomes among older ST-segment elevation …
Patient-reported Outcomes from A National, Prospective, Observational Study of Emergency Department Acute Pain Management With an Intranasal Nonsteroidal Anti-inflammatory Drug, Opioids, or Both.
Pollack CV Jr, Diercks DB, Thomas SH, Shapiro NI, Fanikos J, Mace SE, Rafique Z, Todd KH. Pollack CV Jr, et al. Among authors: diercks db. Acad Emerg Med. 2016 Mar;23(3):331-41. doi: 10.1111/acem.12902. Acad Emerg Med. 2016. PMID: 26782787 Free article.
CONCLUSIONS: Automated telephonic follow-up of ED patients prescribed short-term analgesia is feasible. Ketorolac-based analgesia after an ED visit for many acute pain syndromes was associated with favorable patient outcomes and higher satisfaction than opioid-based therap …
CONCLUSIONS: Automated telephonic follow-up of ED patients prescribed short-term analgesia is feasible. Ketorolac-based analgesia aft …
Midregional proadrenomedullin predicts mortality and major adverse cardiac events in patients presenting with chest pain: results from the CHOPIN trial.
Shah KS, Marston NA, Mueller C, Neath SX, Christenson RH, McCord J, Nowak RM, Vilke GM, Daniels LB, Hollander JE, Apple FS, Cannon CM, Nagurney J, Schreiber D, deFilippi C, Hogan CJ, Diercks DB, Limkakeng A, Anand IS, Wu AH, Clopton P, Jaffe AS, Peacock WF, Maisel AS. Shah KS, et al. Among authors: diercks db. Acad Emerg Med. 2015 May;22(5):554-63. doi: 10.1111/acem.12649. Epub 2015 Apr 23. Acad Emerg Med. 2015. PMID: 25908114 Free article. Clinical Trial.
MR-proADM, history of coronary artery disease (CAD), and hypertension were predictors of short-term MACE, while history of CAD, hypertension, cTnI, and MR-proADM were predictors of long-term MACE. ...
MR-proADM, history of coronary artery disease (CAD), and hypertension were predictors of short-term MACE, while history of CAD, hyper …
Management of atrial fibrillation in the acute setting.
Chenoweth J, Diercks DB. Chenoweth J, et al. Among authors: diercks db. Curr Opin Crit Care. 2012 Aug;18(4):333-40. doi: 10.1097/MCC.0b013e328354dc30. Curr Opin Crit Care. 2012. PMID: 22622515 Review.
In those patients presenting with symptoms of less than 48 h of duration management may consist of rate control, pharmacologic, or electrical cardioversion. Recent studies suggest no difference in long-term outcomes with rate and rhythm control. In patients with symptoms g …
In those patients presenting with symptoms of less than 48 h of duration management may consist of rate control, pharmacologic, or electrica …
Treatment and outcomes in patients with myocardial infarction treated with acute β-blocker therapy: results from the American College of Cardiology's NCDR(®).
Kontos MC, Diercks DB, Ho PM, Wang TY, Chen AY, Roe MT. Kontos MC, et al. Among authors: diercks db. Am Heart J. 2011 May;161(5):864-70. doi: 10.1016/j.ahj.2011.01.006. Epub 2011 Apr 12. Am Heart J. 2011. PMID: 21570515
BACKGROUND: Although beta-blockers (BBs) reduce long-term mortality in patients after myocardial infarction (MI), data regarding acute usage are conflicting. ...
BACKGROUND: Although beta-blockers (BBs) reduce long-term mortality in patients after myocardial infarction (MI), data regarding acut …