... used for ease and speed rather than shifting lead wires and electrodes to record each successive lead. The various electrode locations and their Lead I Figure 12-3. Standard limb lead electrode pairs. Leadm. 158 / Acute Coronary Care.
Author: Gerald H. Whipple
Publisher:
ISBN: UOM:39015000893431
Category: Coronary care units
Page: 383
View: 302
The mobile coronary care units (MCCU) have become an important part of many urban suburban and rural communities since their first use by Pantridge and Geddes in 1967 [1]. The ability to extend coronary care from the hospital coronary ...
Author: Robert M. Califf
Publisher: Springer Science & Business Media
ISBN: 9781461338284
Category: Medical
Page: 576
View: 584
When a patient develops symptoms suggestive of and infarction, this section is emphasized. There acute coronary insufficiency, the health care sys are brief sections on prediction and prevention of tem is presented with a challenging diagnostic ischemic events, methods of diagnosing and siz and management problem. During the past 20 ing infarcts, and methods of monitoring the pa years, hospitals have been developing coronary tient with myocardial ischemia. A major focus of care units as the specialized inhospital facilities for the text is on "coronary care." As indicated above, such patients. For the past 15 years, many com during the past 20 years five distinct phases of munities have employed paramedical personnel coronary care have evolved: (a) prehospital, (b) to extend the principles of "coronary care" to the postadmission, (c) coronary care unit, (d) predis site of the patient who develops the problem. charge, and (e) convalescent. Cardiac rehabilitation programs have also been The section on pathophysiology begins with a established to facilitate the return to function of chapter by Greenfield and Rembert discussing patients who have had acute coronary insuffi the factors that determine the transmural distri ciency. More recently, aggressive medical and bution of blood flow. Reimer then shows the surgical techniques have been developed to either relationship between coronary blood flow and prevent or limit the extent of myocardial necrosis both reversible and irreversible damage to the that develops due to acute coronary insufficiency. myocardium.PREFACE The concepts of acute coronary care are changing so rapidly that it is appropriate that the volume ACUTE CORONARY CARE: PRINCIPLES AND PRACTICE, published early in 1985, would have yearly updates. The process of rapid production ...
Author: Robert M. Califf
Publisher: Springer Science & Business Media
ISBN: 9781461326335
Category: Medical
Page: 340
View: 373
The concepts of acute coronary care are changing so rapidly that it is appropriate that the volume ACUTE CORONARY CARE: PRINCIPLES AND PRACTICE, published early in 1985, would have yearly updates. The process of rapid production of camera-ready manuscripts has added new capability to the exchange of information. ACUTE CORONARY CARE 1986 is the first of a series of yearly updates in this important area of cardiology. Materials published during the fall of 1984, including abstracts for the November American Heart Association meetings were reviewed by the editors to identify the areas of new information and the authors making important contri butions. Manuscripts were completed and edited during the spring of 1985 and the final camera-ready versions were delivered to Martinus Nijhoff by mid-July. The broad area of coronary care is divided into its five time sectors: Pre-hospital, Post-admission, Coronary Care Unit, Pre-discharge, and Conva lescent. As patients are more frequently encountered in the pre-hospital phase, it has become evident that alterations in the autonomic nervous system have a great impact on the clinical situation. The chapter by Ron Victor emphasizes the important interactions between the nervous system and the cardiovascular system in this critical situation.A practical manual for the management of the acute coronary care patient. Peter Thompson, University of Western Australia.
Author: Peter L. Thompson
Publisher: Elsevier Australia
ISBN: 9780729539272
Category: Medical
Page: 715
View: 341
A practical manual for the management of the acute coronary care patient. Peter Thompson, University of Western Australia.Management of the cardiac patent is a complex process and this book has a clear approach conveying the necessary information in an easily understood way.
Author: Nigel I. Jowett
Publisher: Elsevier Health Sciences
ISBN: 9780702028595
Category: Medical
Page: 434
View: 698
The new edition continues to be a practical, easy to understand, and up to date resource for managing coronary disease. It not only encompasses modern cardiology practice, but also considers how the patient came to arrive on coronary care, and what will happen them after they leave. The combined authorship of doctor and nurse reflects the close teamwork vital to the management of both patients and their families. Management of the cardiac patent is a complex process and this book has a clear approach conveying the necessary information in an easily understood way. It also has an excellent evidence base to ensure best practice and should appeal to staff in every cardiac unit. Up to date coverage of a rapidly developing field Offers a multi-disciplinary approach to coronary care Easy to read and therefore easily understood Research/evidence based content ensures best practice Adds material that reflects the growing literature on nurse-lead approaches to chest pain assessment, defibrillation, thrombolysis and specialist clinics (heart failure and dysrhythmias). Updates content in line with the latest guidelines from various medical bodies.
Author: Robert M. Califf
Publisher: Springer
ISBN: 0898386667
Category: Medical
Page: 586
View: 676
During the 25 years since acute coronary care was focused into Coronary Care Units there have been three major Phases: I. prevention of death caused by arrhythmias; II. prevention of death due to myocardial failure; and III. limitation of ...
Author: Robert M. Califf
Publisher: Springer Science & Business Media
ISBN: 9781461323372
Category: Medical
Page: 368
View: 672
During the 25 years since acute coronary care was focused into Coronary Care Units there have been three major Phases: I. prevention of death caused by arrhythmias; II. prevention of death due to myocardial failure; and III. limitation of infarct size. In the latter two Phases, there has been infringement upon the time honored concept of a prolonged period of rest for the patient in general and the heart in particular to minimize myocardial metabolic demands. During the second Phase of coronary care, patients with myocardial failure received aggressive measures to increase cardiac work via increase in preload, decrease in afterload, and direct increase in inotropy. It was believed that true cardiogenic shock was so irreversible that it should be prevented by vigorous efforts to improve the cardiac output despite the risk of extending the area of ischemic myocardium. However, Phase II produced minimal overall reduction in mortality. In the initial part of Phase III, myocardial infarct (MI) size limitation was attempted by reducing myocardial metabolic demands via either beta adrenergic or calcium channel blocking agents. We are currently several years into the second part of Phase III of coronary care where the principle means of limiting MI size is restoration of coronary blood flow.It addresses the management of acute coronary syndromes (ACS) with an emphasis on evidence-based pharmacological management, cardiac emergencies (cardiac arrest, arrhythmia, acute pulmonary oedema, cardiogenic shock), current diagnostic and ...
Author: Angela Kucia
Publisher: John Wiley & Sons
ISBN: 9781118702321
Category: Medical
Page: 320
View: 194
Acute Cardiac Care provides nurses with a comprehensiveunderstanding of the current practice and principles underlying thecare and management of acute cardiac conditions. It addresses themanagement of acute coronary syndromes (ACS) with an emphasis onevidence-based pharmacological management, cardiac emergencies(cardiac arrest, arrhythmia, acute pulmonary oedema, cardiogenicshock), current diagnostic and interventional modalities for themanagement of ACS, including risk stratification, and the ethical,political, social and economic factors that impact upon theprovision of acute cardiac services in Australia and the UK. Edited by renowned academics and clinicians in the field, thispractical text will encourage nurses to think critically aboutevidence and management of acute coronary conditions, and provide aguide on how and where to look for up-to-date evidence andguidelines. KEY FEATURES: A comprehensive and practical guide to the current practiceand principles underlying the nursing care of acute cardiacconditions Edited by leading authorities in the field with a wealth ofexperience in acute cardiac care and resuscitation Has an emphasis on evidence-based practice, encouraging nursesto critically think about their practice Contains learning objectives, key points and activities andfurther reading guidelinesAcute coronary events in a general practice: objectives and design of the Imminent Myocardial Infarction Rotterdam Study. Heart Bull 1976;7:91. . McCaig L. National Hospital Ambulatory Care Survey. 1992 Emergency Department Summary.
Author: Christopher P. Cannon
Publisher: Springer Science & Business Media
ISBN: 9781592593514
Category: Medical
Page: 783
View: 649
In this second edition of his highly acclaimed book, Christopher P. Cannon, MD, and a team of preeminent clinical investigators have thoroughly revised and expanded every chapter to reflect the recent explosion of clinical trials on the management of acute coronary syndromes (ACS). This includes: the newer tests, such as C reactive protein; a multimarker approach to diagnosis and risk stratification; new antiplatelet agents; and combinations of thrombolytic-antithrombotic regimens. Also discussed are the latest developments in interventional cardiology, the use of cost-effectiveness in clinical trials to choose appropriate therapies, and the employment of critical pathways analysis to improve compliance with evidence-based medicine and guideline recommendations.