#35 Acute Coronary Syndrome and TIMI Risk Score: Mind the Gap Segment

#35 Acute Coronary Syndrome and TIMI Risk Score: Mind the Gap Segment

Let's go deeper into the world of ACS and the origin of the TIMI score and major adverse cardiac events "MACE" outcomes! * The basics – what is acute coronary syndrome? (4:08) * Clinical context matters – angina pectoris, atypical chest pain, and troponins (5:22) * You can’t just “cath” everyone – risk stratification to identify patients with high mortality risk (9:42) * TIMI isn’t perfect – the issues with the score and MACE outcomes (14:00) * Review of teaching points (17:58) For full transcript and show notes: https://www.coreimpodcast.com/2019/02/27/acute-coronary-syndrome-acs-and-the-timi-score/ (https://www.coreimpodcast.com/2019/02/27/acute-coronary-syndrome-acs-and-the-timi-score/) Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

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#195 Antibiotic Duration & BALANCE Trial: Beyond Journal Club with NEJM Group

#195 Antibiotic Duration & BALANCE Trial: Beyond Journal Club with NEJM Group

Antibiotic duration for bacteremia is something most of us learned by habit, not by trial data. In this episode, we walk through the BALANCE trial and use it as a lens to revisit how 1) host, 2) organ...

10 Dec 202521min

#194: Severe Hypertriglyceridemia: 5 Pearls Segment

#194: Severe Hypertriglyceridemia: 5 Pearls Segment

How quickly can triglycerides rise? At what threshold are patients at risk of pancreatitis or cardiovascular adverse outcomes? What do you have to rule out? How do you counsel on lifestyle changes? Wh...

3 Dec 202538min

#193 Venous Congestion & VEXUS Interview with Dr. Ross Prager

#193 Venous Congestion & VEXUS Interview with Dr. Ross Prager

Why is venous congestion not the same as volume overload? How can looking at IVC as well as doppler on the hepatic vein, portal vein, and/or intrarenal vein help? Can venous congestion explain someone...

19 Nov 202534min

#192 Debate on First-Line Medications for Diabetes

#192 Debate on First-Line Medications for Diabetes

SGLT-2i vs. GLP-1? vs Metformin? How do you balance the cost and coverage of first-line options like metformin, SGLT-2, and GLP-1s? How do you choose between SGLT-2 and GLP-1s for comorbidities like C...

5 Nov 202536min

#191 Hepatorenal Syndrome Part 2 on Management: 5 Pearls Segment

#191 Hepatorenal Syndrome Part 2 on Management: 5 Pearls Segment

What really works when treating HRS? Vasoconstrictors like terlipressin vs. norepinephrine vs. midodrine: how do we decide which to use? Do you give albumin? When do you give Lasix or another diuretic...

22 Okt 202530min

#190: Hepatorenal Syndrome Part 1: 5 Pearls Segment

#190: Hepatorenal Syndrome Part 1: 5 Pearls Segment

HRS-AKI vs. other causes of AKI in cirrhosis: What do serum or urine sodium clues, albumin challenges, and shifting diagnostic criteria actually reveal about getting the diagnosis right?🔹 Sponsor: Oa...

15 Okt 202536min

#189 Bisphosphonates and Fracture Prevention Trial: Beyond Journal Club with NEJM Group

#189 Bisphosphonates and Fracture Prevention Trial: Beyond Journal Club with NEJM Group

Who’s really at risk for fractures, and how should we be treating them? Most fragility fractures occur in patients without osteoporosis. Should we rethink who gets treated? And could just one or two I...

1 Okt 202530min

#188 Orthostatic Hypotension Part 2: Gray Matters Segment

#188 Orthostatic Hypotension Part 2: Gray Matters Segment

Medications for orthostatic hypotension! When to initiate treatment, how to use them safely, and what to do when new issues arise during treatment. How do those change if someone has autonomic failure...

22 Sep 202535min

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