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Using a multidisciplinary, team-oriented approach, this unique title expertly covers all the latest approaches to the assessment, diagnosis, and treatment of patients with critical cardiac illness. Led by Dr David L. Brown, a stellar team of authoritative writers guides you through cardiac pathophysiology, disease states presenting in the CICU, and state-of-the-art advanced diagnosis and therapeutic techniques. A visually appealing format, new chapters, and thorough updates ensure that you stay on the cutting edge of this rapidly advancing field.



Discusses recent changes in cardiac intensive care, including new care paradigms, new mechanical support modalities, and new therapies and interventions.
Contains 11 new chapters: Palliative Care, Temporary Pacemaker Insertion, Pericardiocentesis, Distributive Shock, Electrical Storm, Cardiopulmonary Cerebral Resuscitation after Cardiac Arrest, Temporary Mechanical Circulatory Support Devices, Cardiorenal Syndrome, Fulminant Myocarditis, Stress-Induced Cardiomyopathy, Diagnosis and Treatment of Unstable Supraventricular Tachycardia.
Online access features heart sounds and murmurs to accompany the chapter on history and physical examination, videos of clinical images and key procedures, frequently updated information on late-breaking clinical trials, reviews of new research publications, and more.
Concisely yet thoroughly covers acute and severe heart failure, chronic pulmonary hypertension, life-threatening dysrhythmias, aortic dissection, and other cardiac conditions as they relate to intensive care.
Explains drug therapy for key cardiac drugs, such as inotropes, vasodilators, anti-arrhythmics, diuretics, anticoagulants, and anti-platelets, and discusses important drug interactions.
Ideal for all healthcare professionals involved in cardiac intensive care, including intensivists, cardiologists, cardiac surgeons, residents, fellows, cardiac nurses, respiratory therapists, physical therapists, and nutritionists.
Expert ConsultT eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices and contains an up to date collection of all relevant ACC/AHA and ESC guidelines.

Cardiac Intensive Care

Section I. Introduction



1. Evolution of the Coronary Care Unit: Past, Present, and Future



2. Ethical Issues of Care



3. Physical Examination



Section II. Scientific Foundation of Cardiac Intensive Care



4. The Role of the Cardiovascular System in Coupling the External Environment to Cellular Respiration



5. Regulation of Cardiac Output



6. Coronary Physiology and Pathophysiology



7. Pathophysiology of Acute Coronary Syndromes: Plaque Rupture and Atherothrombosis



8. Regulation of Hemostasis and Thrombosis



Section III. Coronary Artery Disease



Acute Myocardial Infarction



9. Diagnosis of Acute Myocardial Infarction



10. Use of the Electrocardiogram in Acute Myocardial Infarction



11. Reperfusion Therapies for Acute ST- Elevation Myocardial Infarction



12. Adjunctive Pharmacologic Therapies in Acute Myocardial Infarction



Complications of Acute Myocardial Infarction



13. Post-Myocardial Infarction Cardiogenic Shock



14. Right Ventricular Infarction



15. Mechanical Complications of Acute Myocardial Infarction



16. Supraventricular and Ventricular Arrhythmias in Acute Myocardial Infarction



17. Conduction Disturbances in Acute Myocardial Infarction



Complications of Percutaneous Interventional Procedures



Section IV. Noncoronary Diseases: Diagnosis and Management



18. Acute Heart Failure and Pulmonary Edema



19. Acute Fulminant Myocarditis



20. Stress (Takotsubo) Cardiomyopathy



21. Distributive Shock



22. Cardiorenal Syndrome



23. Sudden Cardiac Death



24. Diagnosis and Treatment of Ventricular Tachycardia



25. Diagnosis and Treatment of Unstable Supraventricular Tachycardia



26. Acute Presentations of Valvular Heart Disease



27. Hypertensive Emergencies



28. Acute Aortic Syndromes: Diagnosis and Management



29. Acute Pericardial Disease



30. Acute Respiratory Failure



31. Massive Acute Pulmonary Embolism



32. Pulmonary Hypertension



33. Hemodynamically Unstable Presentations of Congenital Heart Disease in Adults



34. Overdose of Cardiotoxic Drugs



Section V. Pharmacologic Agents in the Cardiac Intensive Care Unit



35. Anticoagulation: Antithrombin Therapy



36. Anti-platelet Therapy



37. Inotropic and Vasoactive Agents



38. Intensive Diuresis and Ultrafiltration



39. Antiarrhythmic Electrophysiology and Pharmacotherapy



40. Analgesics, Tranquilizers, and Sedatives



41. Pharmacologic Interactions



Section VI. Advanced Diagnostic and Therapeutic Techniques: Indications and Technical Considerations



42. Central Venous Access Procedures



43. Temporary Pacing



44. Pericardiocentesis



45. Invasive Hemodynamic Monitoring



46. Temporary Mechanical Circulatory Support Devices



47. Ventricular Assist Device Therapy in Advanced Heart Failure



48. Heart Transplantation for Advanced Heart Failure



49. Emergency Airway Management



50. Mechanical Ventilation



51. Cardiopulmonary Cerebral Resuscitation after Cardiac Arrest



52. Palliative Care