This is designed as a practical manual for management of the acute coronary patient. Achieving a balance between the large and rapidly changing evidence base and practical application in the CCU, ICU, ED and ambulance is a key aim of the book. The contributing authors are carefully chosen because of their authoritative understanding of the evidence and are practicing in the area. The first edition was widely used in CCU’s, ICU’s and ED’s. The book will cover recent advances as well as basic subjects.
- The book will cover a broad range of coronary care medicine and provide specific advice on the management of many common clinical problems with enough detail to eliminate the need to refer to a larger reference book.
- Portable, ideal companion for a night ‘On Call''
- Variations in style and focus, as well as non-standard artwork for figures, were criticisms of the previous edition and have been addressed
- Chapters organised into subsections
- Australian contributors include - QLD Con Aroney, Jonathan Golledge (JCU), Ian Hamilton-Craig Griffith University, Thomas Marwick University QLD NSW Philip Barter University Sydney, David Brieger University of Sydney, Anne M Keogh University NSW, Prof Leonard Kritharides University NSW, Harry Lowe University of Sydney, Peter Macdonald University NSW, Jane McCrohon University NSW, David Ross Westmead NZ Prof Harvey White Auckland VIC Rinaldo Bellomo University of Melbourne, Geoffrey Donnan Director Florey Neurosciences Institutes, David Hare University Melbourne, A/P Michael Jelinek University Melbourne, David Kaye (Alfred), Henry Krum Monash WA Tom Briffa UWA, Timothy Davis UWA, Judith Finn (Chair Nursing Research) UWA, Prof Ian Jacobs UWA, Joseph Hung UWA, Rukshen Weerasooriya Hollywood SA Derek Chew, Philip Aylward FMC, John Horowitz University Adelaide
- International contributors include - US Allan Jaffe, Cindy Grimes, Valentin Fuster, Joseph Alpert, Eric Topol UK Keith Fox Europe Frans Van de Werf, Michel Hasaguerre.
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
By Peter Thompson, MD