Hi all, it’s ERP, from ERstories. I brought my blog back from the dead about a week ago after a major crash. Unfortunately, I lost nearly all my photos that I had uploaded but luckily did not lose the old posts and comments. Anyway, there are no pay-per-click ads at this point so you should not get any spam or viruses. Also the layout and theme are different. Let me know what you think.
Anyway, onto the post.
Which of the following cardiac risk factors alarmed me the most?
1.70 y/o Male
2. Hypertension
3. High Cholesterol
4. Diabetes
5. Family history of MI
6. He was of Indian ethnicity from Guyana.
If you guessed #6, you’re on the money. I have never seen more people from a single country with worse coronary disease. My youngest patient ever with an ST elevation MI was a 27 y/o from Guyana.
If you ask me, any one past puberty with chest pain from there gets admitted!
That’s such a coincidence…my attending told me the exact same thing this week. It’s not something you see a lot in textbooks but he ran into it a lot during his residency. All you had to say is to the cardiologists was “Guyana” and they would be down to cath them, no questions asked. Supposedly they are born with very narrow coronary arteries.
Do you have any idea why?
why are you seeing so many people from Guyana????
Your link to ERStories is broken.
I had stopped visiting because of the attempted infections, good to know you’re back.
OK, I fixed the link.
And midwest woman, I don’t see too many of them – but enough for them to make an impression on me.
Seaspray, it is due to the Founder Effect (do a wikipedia search for it for a good explanation).
Thanks so much for getting rid of the spam & viruses! I’ll be back lurking again!
Thank you ERP.
I like the new format, ERP.