20:00 It is hard to believe that a massive PE that causes cardiac arrest has serielly negativ Troponins. Hs-Assays detect even intermediate-low risk PE's. Maybe that was because you used old (non high sens.) assays?I have never seen a normal hs Trop T in massive PE (multiple years in a tertiary care centre). Second, see also existing literature PMID: 23205283 and Hakemi et al Chest. 2015 Mar;147(3):685-694. doi: 10.1378/chest.14-0700. Normal hs Troponin savely rules out high risk PE.
I'm a student so pardon my ignorance, but shouldn't you wait until multiple studies all show the same thing? It needs to be reproducible before you change a whole practice no? You don't want to bounce back and forth changing practices for every latest conflicting study right? Wait until there's a trend of them?
Thanks for this excellent teaching. Amazing!.
Thank you for sharing this! You are really helping both Docs and patients!
Don't forget to share with your prehospital colleagues too!
Really nice!!! Thank you for the elucidation~~
20:00 It is hard to believe that a massive PE that causes cardiac arrest has serielly negativ Troponins. Hs-Assays detect even intermediate-low risk PE's. Maybe that was because you used old (non high sens.) assays?I have never seen a normal hs Trop T in massive PE (multiple years in a tertiary care centre). Second, see also existing literature PMID: 23205283 and Hakemi et al Chest. 2015 Mar;147(3):685-694. doi: 10.1378/chest.14-0700. Normal hs Troponin savely rules out high risk PE.
thats interesting ...you should email him ..
Superb. Thank you so much...
Thanks sir
I'm a student so pardon my ignorance, but shouldn't you wait until multiple studies all show the same thing? It needs to be reproducible before you change a whole practice no? You don't want to bounce back and forth changing practices for every latest conflicting study right? Wait until there's a trend of them?
at 25:55 there is an accidental audible slip of flatus :-) Excellent talk, super teacher. Thanks