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Acute Coronary Care 1987

  • Book
  • © 1987

Overview

Editors:
  1. Robert M. Califf

    1. Duke University Medical Center, Durham, USA

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    You can also search for this editor in PubMed   Google Scholar

  2. Galen S. Wagner

    1. Duke University Medical Center, Durham, USA

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    You can also search for this editor in PubMed   Google Scholar

Part of the book series: Acute Coronary Care Updates (ACCU, volume 2)

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Table of contents (24 chapters)

  1. Front Matter

    Pages i-xvi
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  2. Coronary Care: The Pre-Hospital Phase

    1. Front Matter

      Pages 1-1
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    2. Automatic Detection of Ventricular Fibrillation/Defibrillation

      • A. A. Jennifer Adgey, John Anderson
      Pages 3-18

    3. Helicopter Transport of Patients with Acute Ischemic Syndromes

      • Raye L. Bellinger, Rita Weber, Robert M. Califf
      Pages 19-35

    4. Medico-Legal Principles of Emergency and Intensive Medical Care

      • M. Lee Cheney, Daniel B. Mark
      Pages 37-48

  4. Coronary Care: The Coronary Care Unit Phase

    1. Front Matter

      Pages 111-111
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    2. Preparation of the Nurse for Coronary Care in the 80’s

      • Rachel Z. Booth, Wanda M. Bride
      Pages 113-123

    3. St Segment Changes during Early Myocardial Infarction

      • Mitchell W. Krucoff, Lowell F. Satler, Curtis E. Green, Charles E. Rackley, Kenneth M. Kent
      Pages 125-164

    4. A New Method for Electrocardiographic Monitoring

      • Isabelle M. Adams, David W. Mortara
      Pages 165-175

    5. Computerized Quantitative Electrocardiography: Potential Roles in Evaluating the Cardiac Patient

      • James E. Pope, Nancy B. Hindman, John H. Edmonds, W. Kenneth Haisty Jr.
      Pages 177-190

    6. External Transthoracic Pacing in Patients with Acute Myocardial Infarction

      • Seth J. Worley, Wanda M. Bride
      Pages 191-201

    7. Use of the Intra-Aortic Balloon Pump in Unstable Angina

      • George S. Tyson, J. Scott Rankin, Robert M. Califf
      Pages 203-213

    8. Criteria for Transfer From the Coronary Care Unit

      • Edwin P. Bounous Jr.
      Pages 215-225

    9. Prognosis, Treatment and Special Concerns of Older Patients Following Acute Myocardial Infarction

      • Sebastian T. Palmeri
      Pages 227-244

  5. Coronary Care: The Pre-Discharge Phase

    1. Front Matter

      Pages 245-245
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Keywords

About this book

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.

Editors and Affiliations

  • Duke University Medical Center, Durham, USA

    Robert M. Califf, Galen S. Wagner

Bibliographic Information

  • Book Title: Acute Coronary Care 1987

  • Editors: Robert M. Califf, Galen S. Wagner

  • Series Title: Acute Coronary Care Updates

  • DOI: https://doi.org/10.1007/978-1-4613-2337-2

  • Publisher: Springer New York, NY

  • eBook Packages: Springer Book Archive

  • Copyright Information: Martinus Nijhoff Publishing, Boston 1987

  • Hardcover ISBN: 978-0-89838-842-8Published: 30 November 1986

  • Softcover ISBN: 978-1-4612-9435-1Published: 22 February 2012

  • eBook ISBN: 978-1-4613-2337-2Published: 06 December 2012

  • Edition Number: 1

  • Number of Pages: XVI, 368

  • Topics: Cardiology

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