Evidence-Based Coronary Care book cover

Evidence-Based Coronary Care

All junior doctors and, in particular, trainee cardiologists will at some point in their training be involved in managing acute coronary syndromes and other cardiac emergencies. This handbook sets out the recognized clinical steps to take and backs them up with an analysis of the evidence supporting these decisions. EVIDENCE-BASED CORONARY CARE will provide junior doctors with the answers they seek when dealing with difficult clinical situations. Evidence-based medicine is still very topical, and this book will adopt a similar style to James: EVIDENCE-BASED OBSTETRICS in setting out the clinical management plan on the verso page and the evidence supporting that plan on the recto page.

Paperback, 216 Pages

Published: March 2001

Imprint: Churchill Livingstone

ISBN: 978-0-443-06415-9

Contents

  • 1.1 Immediate management of chest pain compatible with MI
    Immediate treatment.
    Definitive treatment
    Contra-indications to thrombolytic therapy
    Management of the patient ineligible for thrombolytic therapy
    Who should receive tPA?
    Assessing reperfusion after thrombolysis
    Problems following thrombolytic therapy
    Patients with diabetes and acute MI
    Treatment of 'difficult' MIs

    SECTION II: SUBSEQUENT CCU MANAGEMENT OF MI
    Early CCU management
    Early risk stratification
    Routine management from day 1
    Complications of MI

    SECTION III: RISK STRATIFICATION POST MI
    Clinical risk stratification
    Using exercise and other stress testing
    Autonomic markers of post MI risk
    Out-patient follow up
    Pre-discharge checklist

    SECTION IV: EARLY REHABILITATION, SECONDARY PREVENTION AND OUT-PATIENT FOLLOW-UP OF MI
    Cardiac rehabilitation and secondary prevention
    Fitness to drive
    Checklist for outpatient review post MI

    SECTION V: MANAGEMENT OF OTHER ACUTE CORONARY SYNDROMES
    Unstable angina
    Non-Q wave MI
    Pre-discharge checklist

    SECTION VI: DRUGS IN COMMON USE IN MI AND UNSTABLE ANGINA
    Aspirin and other anti-platelet agents
    Beta-blockers
    Calcium antagonists
    ACE inhibitors
    Lipid lowering agents
    Nitrates
    Inotropes
    Heparin, warfarin and antithrombins
    Amiodarone

    SECTION VII: OTHER EMERGENCIES IN CCU
    Tachycardias
    Bradycardias
    Pacemakers
    Automatic cardioverter-defibrillators

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