Research Update from Dr. Nowak
Richard Nowak, M.D. is continuing his long and very productive career in Emergency Medicine research and education. To date, he has authored/coauthored 215 peer reviewed publications, 24 chapters in medical text books, and 244 original research abstracts. In 1986 he was the president of the University Association for Emergency Medicine (the Emergency Medicine academic organization that became the Society for Emergency Medicine) and 32 years later at this year’s SAEM meeting in Indianapolis in May he is presenting 3 oral original research papers! If you are in Indianapolis for SAEM, be sure to come to his presentations and cheer him on. A veteran global researcher, Dr. Nowak has submitted multiple abstracts to the 2018 European Society of Cardiology meeting in Munich and the European Society of Emergency Medicine meeting in Glasgow.
Dr. Nowak’s current interest continues to focus primarily on biomarker use in Emergency Medicine, specifically the use of high sensitivity cardiac troponins (both I and T) in the evaluation of patients with suspected acute coronary syndrome as well as in patients with other diagnoses. These high sensitivity troponins can be detected in the majority of normal individuals and so values will be commonly reported to ED physicians who may not know how to interpret them. These novel troponin assays have not yet been evaluated as to how to be best utilized in the US ED population (i.e. rapid rule-out/rule-in of AMI etc.).
High sensitivity troponin T is currently available and in the relatively near future some high sensitivity troponin I assays will be approved by the FDA for use in the aid for diagnosis of acute myocardial infarction. Thus this clinical research on how these novel troponins might best be used in the US EDs is quite important. In additionally, Dr. Nowak is investigating how to differentiate type 1 from type 2 acute myocardial infarction using a combination of natriuretic peptides and high sensitivity troponin values. Follow the Emergency Medicine literature for the upcoming publications by Dr. Nowak on these topics!