Coronary Care Manual book cover

Coronary Care Manual

A comprehensive coronary care textbook for medical, nursing and paramedic staff

The Coronary Care Manual, 2nd Edition is a practical medical manual designed to assist with management of the acute coronary patient.

This respected medical resource is written by a group of coronary experts, both Australian and international. Its aim is to strike a balance between a large and rapidly-changing evidence base and practical application in the Coronary Care Unit, Intensive Care Unit, Emergency Department and the ambulance.

The second edition of this important health textbook covers an extensive range of coronary care medicine, providing a handy companion for a night ‘on call’.

Chapter topics in the Coronary Care Manual, 2nd Edition include pathophysiology, drug and non-drug therapies and postcoronary management, with chapters organised into subsections.

Completely redesigned with fresh, new artwork, this new edition of the Coronary Care Manual is organised to suit academics and medical practitioners alike.


Published: December 2010

Imprint: Churchill Livingstone

ISBN: 978-0-7295-7927-8


  • 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 syndromes

                          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


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