Pericarditis, Benign Early Depolarisation or STEMI

Differentiating between Pericarditis, Benign Early Depolarisation and ST Elevation Myocardial Infarction can sometimes be difficult. CASE A 35 yo male presents with palpitations and pleuritic chest pain. He’s recently had a viral illness but has no other medical history. At 1am in the morning, the patient was woken by palpitations. He now complains of left…

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The HEART Score for sorting Low Risk Chest Pain Patients

The patient with chest pain is the most common presentation to Emergency Departments.  And certainly the low risk chest pain patients seem to take up a large degree of our resources, including time, laboratory testing, and follow up.  In the past, we’ve used scoring systems such as TIMI, PURSUIT and GRACE.  These scoring systems have…

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