In relation to Episode 15: Acute Coronary Syndromes with Dr. Eric Letovsky,  Dr. Mark Mensour and Dr. Neil Fam, we present here, Dr. Helman’s Best Case Ever of an Acute Coronary Syndrome patient.

In Episode 15 on Acute Coronary Syndromes, Drs. Fam, Mensour , Letovsky and Helman discuss questions such as: How does a recent negative stress test or angiogram effect the pre-test probability of ACS in the ED? What does recent evidence tell us about the assumption that patients presenting with chest pain and a presumed new LBBB will rule in for MI and require reperfusion therapy? How will the new ultra-sensitive Troponins change our practice? When, if ever, should we be using IV B-blockers in AMI patients in the ED? How can we predict, in the ED, who might go on to have an urgent CABG, in which case Clopidogrel is contra-indicated? How should we choose between UFH, LMWH or Fondaparinux for unstable angina, NSTEMI and STEMI? In what situations is thrombolysis better than PCI for STEMI? Which low risk chest pain patients require an early stress test? CT coronary angiography? and many more……