Coronary Care Manual

The Coronary Care Manual has been designed as a practical manual for the management of the acute coronary patient, and aims to achieve a balance between the large and rapidly changing evidence base and practical application in the CCU, ICU, ED and ambulance. The book has been written by a group of Australian and international experts for medical, nursing and paramedic staff working in these areas. This edition covers a broad range of coronary care medicine in enough detail to eliminate the need to refer to a larger reference book, providing a portable companion for a night "on call". Completely redesigned with new artwork, the manual is organized to suit academics and practitioners alike. By Peter Thompson, MD FRACP FACC MBA, Cardiologist (formerly Director of Coronary Care at SCGH); Director of Research Development SCGH; Clinical Professor of Medicine & Population Health, UWA Table of Contents: Section 1 Background to coronary care History and future of the coronary (cardiac) care unit; Design and management of the coronary care unit; Applying evidence-based medicine in the coronary care unit; Redefinition of acute coronary syndromes and universal myocardial infarction Section 2 Epidemiology, genetics and risk factors Clinical epidemiology of acute myocardial infarction and coronary heart disease; Molecular genetics of atherosclerosis and acute coronary syndromes Section 3 Pathophysiology Coronary risk factors; Pathophysiology of atherosclerosis; Pathophysiology of coronary thrombosis; Pathophysiology of myocardial infarction; Pathophysiology of ventricular arrhythmias in myocardial infarction and sudden cardiac death; Pathophysiology of cardiac failure Section 4 Evaluations of the patient History; Physical examination; Electrocardiography; Biochemical markers of myocardial necrosis; Novel biomarkers in evaluation of acute coronary syndrome; Chest x-ray; Echocardiography; Exercise testing; Radionuclide imaging; Coronary computed tomographic angiography in the emergency department; Role of positron emission tomography; Cardiac magnetic resonance imaging; Coronary angiography; Electrocardiographic monitoring; Hemodynamic monitoring Section 5 Drug therapies Oxygen therapy; Analgesia; Antiarrhythmic drugs; Beta-blockers; ACE-inhibitors and angiotensin receptor blockers; Aldosterone blockade: role in the coronary care unit; Calcium channel blockers; Nitrate therapy in the coronary care unit; Alternative antianginal agents for acute coronary syndromes; Diuretics, digoxin, and electrolytes;Inotropic and vasoactive agents; Fibrinolytic therapy; Intravenous heparin, low-molecular-weight heparins, and thrombin antagonists; Intravenous antiplatelet agents; Oral antiplatelet therapy; Oral anticoagulants: vitamin K antagonists, factor Xa inhibitors, and thrombin-inhibitors; Lipid management after a coronary event; Stabilizing unstable plaque in acute coronary syndromes Section 6 Non-drug therapies Vascular access and ultrasound guidance techniques; Basic life support; Advanced life support; Positive airway pressure therapies; Circulatory assist devices including the intraaortic balloon pump; Cardiac transplantation selection criteria; Stem cells in myocardial injury; Cardioversion and defibrillation; Cardiac pacemakers and cardiac resynchronization therapy;Catheter ablation of arrhythmias; Implantable cardioverter defibrillators in patients with coronary artery disease; Pacemaker insertion and implantable cardioverter defibrillator insertion; Percutaneous coronary intervention; Coronary artery bypass surgery Section 7 Acute coronary problems Prehospital coronary care; Acute myocardial infarction: emergency department care; Acute myocardial infarction: coronary care unit admission and care; Management of ST-elevation myocardial infarction; Management of non-ST-elevation acute coronary syndromes; Acute myocardial infarction: management of cardiac arrhythmias and conduction disturbances; Acute myocardial infarction: cardiac failure and pulmonary edema; Cardiogenic shock; Acute myocardial infarction: other complications; Acute myocardial infarction: right ventricular infarction; Apical ballooning syndrome (tako-tsubo or stress-induced cardiomyopathy); Other causes of chest pain Section 8 Other cardiac problems Atrial fibrillation; Ventricular tachycardia; Other cardiac arrhythmias ; The cardiac surgery patient; The cardiac catheterization patient ; Care of the percutaneous coronary intervention patient; The pre- and postoperative management of the cardiac transplant recipient; Hypertensive crises; Aortic dissection; Pericardial effusion and tamponade; Pulmonary embolism in the coronary care unit Section 9 Special problems in the coronary care unit patient Management of diabetes in the coronary care unit; Renal dysfunction in the coronary care unit; Gastroenterology emergencies in the coronary care unit; Stroke in the coronary care unit; Bleeding complications and transfusion in acute coronary syndrome; Depression and coronary heart disease; Gender issues in the coronary care unit Section 10 Postcoronary management Management of the postcoronary patient; Secondary prevention of coronary heart disease; Postcoronary diet therapy; Postcoronary rehabilitation, heart failure, and exercise