First of all, I want to thank you IMMENSELY for the amazing work you are doing, even going and updating all these videos! It's truly incredible, you are awe-some (and then some!). Did want to add that high sensitivity troponin has pretty much replaced the other enzymes (as far as I know/have seen it done). Also, your patient at 9:19 seems to be having a posterior STEMI in addition to the inferior one (they occur frequently together!)
Cardiac troponin I rises after 4 hours (peaks at 24 hr) and is for 7-10 days; more specific than other protein markers. CK-MB increases after 6-12 hours (peaks at 16-24 hr) and is predominantly found in myocardium but can also be released from skeletal muscle. Useful in diagnosing reinfarction following acute MI because levels return to normal after 48 hours.
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First of all, I want to thank you IMMENSELY for the amazing work you are doing, even going and updating all these videos! It's truly incredible, you are awe-some (and then some!).
Did want to add that high sensitivity troponin has pretty much replaced the other enzymes (as far as I know/have seen it done). Also, your patient at 9:19 seems to be having a posterior STEMI in addition to the inferior one (they occur frequently together!)
I can't be late for my favorite topic! Especially by the one and only Dr. Bolin 🙌
Thank you very much as always.
An update was very much needed. Appreciate that.
Cardiac troponin I rises after 4 hours (peaks at 24 hr) and is for 7-10 days; more specific than other protein markers. CK-MB increases after 6-12 hours (peaks at 16-24 hr) and is predominantly found in myocardium but can also be released from skeletal muscle. Useful in diagnosing reinfarction following acute MI because levels return to normal after 48 hours.
Please, could someone give an explanation why fibrinolytics are of no use in UA?
Awesome
❤