0071643192.pdf

TREATMENT UA requires more aggressive treatment than stable angina, and is similar to treatment for NSTEMI: Goals of care (ED co ...

■ May↓infarct size and mortality in MI ■ Titrate to 10% (if normotensive) or30% (if hypertensive) BP reduction (notto chest pain ...

CARDIOVASCULAR EMERGENCIES TABLE 2.6. Indications for Reperfusion Therapy in STEMI Indications for Thrombolytic Therapy or PCI i ...

FIGURE 2.13. Accelerated idioventricular rhythms. (Reproduced, with permission, from Tintinalli JE, Kelen GD, Stapczynski JS. Em ...

CARDIOVASCULAR EMERGENCIES TABLE 2.8. Agents Used in the Treatment of Acute Coronary Syndrome AGENT EFFECT/BENEFITS CONTRAINDICA ...

CARDIOVASCULAR EMERGENCIES TABLE 2.9. Complications of Myocardial Infarction CLINICALFEATURES TREATMENT Early Complications Cong ...

CARDIOVASCULAR EMERGENCIES ■ More likely to have DM and HTN, less likely to be smokers ■ Older than men at time of first MI ■ Wo ...

■ Acute heart failure vs chronic heart failure ■ Cor pulmonale: enlargement of the right ventricle from underlying lung disease ...

■ Medication: Effect or noncompliance ■ Sodium load (diet) ■ Volume overload, often iatrogenic Decompensation may be acute or gr ...

■ BNP<100 pg/dL makes heart failure unlikely. ■ BNP>500 pg/dL makes heart failure highly probable. ■ Should be compared to ...

■ BP and coronary perfusion pressure ■ Will HR and myocardial O 2 demand ■ Intra-aortic balloon pump as bridge to revascularizat ...

TREATMENT ■ Lifestyle modification ■ Treat underlying etiology when possible. ■ Aggressive blood pressure and heart rate control ...

■ Medications ■ Procainamide ■ Hydralazine ■ INH ■ Systemic diseases ■ SLE ■ Scleroderma ■ Rheumatic fever ■ Post MI (2–10 weeks ...

TREATMENT ■ Treat underlying etiology. ■ ASA or NSAIDs for anti-inflammatory effects and pain control ■ Narcotics for intractabl ...

CARDIOVASCULAR EMERGENCIES Beck’s triad (tamponade): Hypotension JVD Muffled heart sounds Kussmaul’s sign—-may also be seen with ...

MYOCARDITIS Myocarditis is characterized by inflammation of the myocardium. A number of infectious agentshave been implicated (s ...

CARDIOVASCULAR EMERGENCIES ACE inhibitors play an important role in the treatment of myocarditis. ■ CXR: Usually normal, but may ...

CAUSES The vast majority of cases are idiopathic, but known causes include: ■ Peripartum ■ Most common in first two months postp ...

COMPLICATIONS ■ Sequelae of CHF ■ Dysrhythmias ■ Pulmonary and peripheral embolization from mural thrombus ■ Sudden death Restri ...

A 17-year-old male presents to the ED after passing out during basketball practice. He has no symptoms now, but his mom insisted ...