scholarly journals Monitoring Acute Myocardial Infarction Complicated with Cardiogenic Shock — from the Emergency Room to Coronary Care Units

2017 ◽  
Vol 3 (2) ◽  
pp. 61-71
Author(s):  
Andreea Barcan ◽  
Zsuzsanna Suciu ◽  
Emese Rapolti
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Cardiogenic Shock ◽  
Coronary Care Unit ◽  
Therapeutic Interventions ◽  
Assessment And Monitoring ◽  
Novel Biomarkers ◽  
Coronary Care ◽  
Critical Patients ◽  
Coronary Care Units

AbstractCardiogenic shock remains the leading cause of death in patients hospitalized for acute myocardial infarction, despite many advances encountered in the last years in reperfusion, mechanical, and pharmacological therapies addressed to stabilization of the hemodynamic condition of these critical patients. Such patients require immediate initiation of the most effective therapy, as well as a continuous monitoring in the Coronary Care Unit. Novel biomarkers have been shown to improve diagnosis and risk stratification in patients with cardiogenic shock, and their proper use may be especially important for the identification of the critical condition, leading to prompt therapeutic interventions. The aim of this review was to evaluate the current literature data on complex biomarker assessment and monitoring of patients with acute myocardial infarction complicated with cardiogenic shock in the Coronary Care Unit.

scholarly journals Haemodynamic Monitoring in the Management Of Cardiogenic Shock in Coronary Care Units

Curationis ◽  
1978 ◽  
Vol 1 (2) ◽  
Author(s):  
L.A. Schreiber
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Cardiogenic Shock ◽  
Nursing Care ◽  
Cardiac Monitoring ◽  
Haemodynamic Monitoring ◽  
The Past ◽  
Life Threatening ◽  
Coronary Care ◽  
Coronary Care Units

The management and nursing care of patients suffering from acute myocardial infarction has changed dramatically over the past decade. With the establishment of coronary care units offering facilities for cardiac monitoring and staffed with nurses holding a post-basic diploma in intensive nursing, the prevention or effective treatment of life-threatening arrhythmias became feasible and many have survived as a result of this intensive and skilled care.

Management of Ventricular Fibrillation during Acute Myocardial Infarction

1984 ◽  
Vol 23 (04) ◽  
pp. 209-213
Author(s):  
B. J. Northover
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Ventricular Fibrillation ◽  
Coronary Care Unit ◽  
Patient Survival ◽  
Left Ventricular ◽  
Ventricular Failure ◽  
Before And After ◽  
Coronary Care ◽  
The Creation

SummaryAnalysis of electrocardiograms tape-recorded from patients admitted to hospital with acute myocardial infarction revealed that the pattern of ventricular extrasystolic activity was not significantly different among those who subsequently developed ventricular fibrillation and those who did not. Episodes of ventricular fibrillation occurred predominantly within 4 hours from the start of infarction. Patients were 3 times less likely to survive an episode of ventricular fibrillation if they also had left ventricular failure than if this feature was absent. Management of episodes of ventricular fibrillation was compared in patients before and after the creation of a specially staffed and equipped coronary care unit. The success of electric shock as a treatment for ventricular fibrillation was similar before and after the creation of the coronary care unit. An attempt was made to determine which features in the management of ventricular fibrillation in this and in previously published series were associated with patient survival.

scholarly journals Early Diagnosis of Acute Myocardial Infarction: CK-MB and Myoglobin Compared

1993 ◽  
Vol 30 (5) ◽  
pp. 435-438 ◽  
Author(s):  
W S Kilpatrick ◽  
D Wosornu ◽  
J B McGuinness ◽  
A C A Glen
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Coronary Care Unit ◽  
Rapid Diagnosis ◽  
Blood Samples ◽  
Care Utilisation ◽  
Creatine Kinase Mb ◽  
Coronary Care ◽  
Selection Of Patients ◽  
Selection Of

We have measured changes in plasma concentration of creatine kinase MB (CK-MB) and myoglobin in 50 patients admitted to the Coronary Care Unit with chest pain of presumed cardiac origin. Eight serial blood samples were obtained in the 6 h period following admission and both CK-MB and myoglobin concentrations were measured. We compared the performance of single values of both tests. Myoglobin concentration, in the coronary care population studied, proved to be as specific as CK-MB concentration (92–6% in both cases) but with sensitivity of 100% being achieved 1 · 5 h post admission rather than 4 h post admission in the case of CK-MB. On this evidence, measurement of plasma myoglobin could prove useful in the rapid diagnosis of myocardial infarction with consequent effects on optimal Coronary Care utilisation and selection of patients for thrombolytic therapy.

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