By John Higgins, Asif Ali, David Filsoof
Cardiac scientific Questions solutions greater than one-hundred of the medical cardiology questions most commonly asked of the authors in the course of session. The booklet simulates the session approach: seek advice query →data assortment→ synthesis of information → solution.
After clarifying the foremost idea, the serious info acquired contains the heritage, actual examination, EKG, imaging, and lab(s). A point-of-care resolution is derived through placing this information into easy logical equations. moreover, contraindications, discussions utilizing evidence-based medication, and references are incorporated.
Cardiac scientific Questions is split Into 9 Sections:
- Diagnostic checking out
- Valvular illnesses
- Cardiac illnesses
- Congenital middle illnesses
- Heart Failure and high blood pressure
Cardiac medical Questions is the single-best source for quick translating the most up-tp-date wisdom into functional, diagnostic real-time solutions.
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Extra info for Cardiology Clinical Questions
DISCUSSION PEARLS During systole, afterload and myocardial oxygen consumption are reduced by a vacuum effect created by deflation. Use of IABP is beneficial for hemodynamic support and stabilization during high-risk angiography and revascularization. Note factors that can increase complication rate include PVD, age >70, female sex, diabetes/HTN, prolonged support, large catheter/large body surface area. Complications include limb ischemia, bleeding, balloon leak, IABP failure, arterial dissection.
Percutaneous Coronary Intervention versus Coronary Artery Bypass Grafting for Severe Coronary Artery Disease. N Engl J Med. 2009;360:961–972. 34 ACS How do I determine the site of STEMI infarct/injury on ECG? KEY CONCEPT It is important to understand the location of infarct and injury to aid in management decisions. Certain areas of infarction will manifest in different leads on the ECG. Patient presents with chest pain and palpitations. HISTORY ELECTROCARDIOGRAM SYNTHESIS E EPIPHANY Anteroseptal (V1-3) Anterolatertal (V3-6, I, aVL) Lateral (I, aVL, V5, V6) Inferior (II, III, aVF) Posterior (V1-3 mirror image) STEMI = ST segment elevation.
ACC/AHA 2007 Guidelines on Perioperative Cardiovascular Evaluation and Care for Noncardiac Surgery: Executive Summary. J Am Coll Cardiol. 2007;50:e1–e157. 32 ACS Should I refer my patient for PCI or CABG? KEY CONCEPT HISTORY Coronary-artery bypass graft (CABG) is indicated for severe coronary artery disease when the benefits of survival and quality of life (symptoms and functional status) exceed the consequences and morbidity of surgery. HPI: Patient with coronary artery disease (CAD) who is in need of coronary revascularization.