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Evolution of Critical Care Cardiology: An Update on Structure, Care Delivery, Training, and Research Paradigms: A Scientific Statement From the American Heart Association

Circulation

Critical care cardiology refers to the practice focus of and subspecialty training for the comprehensive management of life-threatening cardiovascular diseases and comorbid conditions that require advanced critical care in an intensive care unit. Circulation, Ahead of Print.

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Heart Disease and Stroke Could Affect at Least 60% of Adults in U.S. by 2050, According to American Heart Association Advisories

DAIC

Smith Center for Outcomes Research in Cardiology and director of the cardiac critical care unit at Beth Israel Deaconess Medical Center in Boston, Mass. Kazi , vice chair of the advisory writing group, said in an AHA news release. Kazi is head of health economics and associate director of the Richard A. and Susan F.

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VF arrest at home, no memory of chest pain. Angiography non-diagnostic. Does this patient need an ICD? You need all the ECGs to know for sure.

Dr. Smith's ECG Blog

Given the presentation, the cardiologist stented the vessel and the patient returned to the ICU for ongoing critical care. This is a critically important determination because of the 2017 AHA/ACC/HRS Guidelines for Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death.

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Regular Wide Complex Tachycarida with poor LV function and hypotension. Duration unknown. How to manage?

Dr. Smith's ECG Blog

I brought the patient to the critical care area and told the providers I thought it was atrial flutter with 2:1 AV conduction, but there is an outside chance that it is VT. PEARL #1: The most commonly overlooked arrhythmia is AFlutter ( A trial F lutter ). As a result — We can not rule out VT on the basis of this single ECG.

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Noisy, low amplitude ECG in a patient with chest pain

Dr. Smith's ECG Blog

Colin is an emergency medicine resident beginning his critical care fellowship in the summer with a strong interest in the role of ECG in critical care and OMI. Jenkins and Frick — I offer 3 additional examples of artifactual distortion ( excerpted from my ECG Blog ) — that resulted in arrhythmia misdiagnosis.

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A young lady with wide complex tachycardia. My first time actually making this diagnosis de novo in real life in the ED!

Dr. Smith's ECG Blog

Despite otherwise normal vital signs, she was appropriately triaged to the critical care area of the ED. Free full text: [link] There are 6 categories of criteria : 1) Imaging 2) Pathologic 3) ECG Repolarization 4) ECG Depolarization 5) Arrhythmias 6) Family History.

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STEMI with Life-Threatening Hypokalemia and Incessant Torsades de Pointes

Dr. Smith's ECG Blog

Here are the American Heart Association Guidelines: 2005 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Part 10.1: IV administration of potassium is indicated when arrhythmias are present or hypokalemia is severe (potassium level of less than 2.5 Crit Care Med.

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