Management of the Patient in the Coronary Care Unit

by Shishehbor, Mehdi H.; Wang, Thomas H.; Askari, Arman T.; Penn, Marc S.; Topol, Eric J.

• ISBN13: 9780781764391
• ISBN10: 0781764394
• Edition: 1st
• Format: Paperback
• Copyright: 2007-10-20
• Publisher: LWW

Summary

Designed for quick, easy use in emergency situations, this concise coronary care manual focuses on the diagnosis and management of acute cardiac conditions. The authors succinctly summarize the evidence-based strategies and successful diagnostic and therapeutic modalities used at the world-renowned Cleveland Clinic. Chapters are written in outline format with short narratives to explain the diagnostic or management decisions. Bulleted lists, sidebars, figures, tables, and algorithms help readers grasp key information at a glance.

Table of Contents

Contributing Authors	p. ix
Preface	p. xiii
Approach to Cardiac Care Unit Patient
Approach to the Cardiac Care Unit (CCU) Patient	p. 3
Acute Coronary Syndromes
Acute ST-Elevation Myocardial Infarction	p. 15
Non-ST-Segment Elevation Myocardial Infarction	p. 27
Mechanical Complications of Acute Myocardial Infarction	p. 36
Right-Ventricular Infarction	p. 43
Post-Coronary Intervention Management	p. 50
Acute Decompensated Valvular Heart Disease
Decompensated Aortic Stenosis	p. 59
Acute Aortic Insufficiency	p. 66
Mitral Stenosis	p. 73
Mitral Regurgitation	p. 81
Tricuspid Valvular Disease	p. 91
Infective Endocarditis	p. 97
Prosthetic Valve Disease	p. 105
Arrhythmias
Narrow Complex Tachycardia	p. 121
Wide-Complex Tachycardia	p. 132
Bradyarrhythmias	p. 152
Diseases of the Aorta and Pericardium
Acute Aortic Syndromes	p. 163
Pericardial Tamponade	p. 170
Constrictive Pericarditis	p. 178
Acute Decompensated Heart Failure
Ischemic and Nonschemic Cardiomyopathy	p. 187
Right-Ventricular Failure	p. 194
Pulmonary Hypertension	p. 202
Hypertrophic Cardiomyopathy	p. 212
Mechanical Circulatory Support and Cardiac Transplantation	p. 220
Management of the Acutely Decompensated Cardiac Transplant Patient	p. 230
Procedures
Right-Heart Catheterization	p. 239
Temporary Transvenous Pacing	p. 244
Pericardiocentesis	p. 248
Cardioversion	p. 252
Intra-aortic Balloon Counterpulsation	p. 256
Miscellaneous
Ventilator Management in the Cardiac Care Unit	p. 271
Sedation and Analgesia in the Coronary Intensive Care Unit	p. 281
Nutrition in the Coronary Care Unit	p. 288
Ethics in the Coronary Care Unit	p. 293
Case Presentation
Ruptured Papillary Muscle with Acute Mitral Regurgitation	p. 301
Fulminant EBV Myocarditis	p. 306
Giant Cell Myocarditis in a Bone Marrow Transplant Recipient	p. 309
Right Ventricular Infarction	p. 314
Heparin-Induced Thrombocytopenia in a Cardiac Patient	p. 317
Postpartum Cardiomyopathy	p. 320
Index	p. 323
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