Relevant bibliographies by topics / Coronary care units Victoria

Academic literature on the topic 'Coronary care units Victoria'

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Published: 10 December 2022
Last updated: 29 January 2023

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Journal articles on the topic "Coronary care units Victoria"

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St. John, Philip D. "Dissemination of Coronary Care Units Versus Geriatric Units." American Journal of Medicine 131, no. 3 (March 2018): e111. http://dx.doi.org/10.1016/j.amjmed.2017.09.018.

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Julian, D. G. "The history of coronary care units." Heart 57, no. 6 (June 1, 1987): 497–502. http://dx.doi.org/10.1136/hrt.57.6.497.

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Fuster, Valentin. "Myocardial infarction and coronary care units." Journal of the American College of Cardiology 35, no. 5 (April 2000): 49B—51B. http://dx.doi.org/10.1016/s0735-1097(00)80051-0.

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FUSTER, V. "Myocardial infarction and coronary care units." Journal of the American College of Cardiology 35, no. 5 (April 2000): 49B—51B. http://dx.doi.org/10.1016/s0735-1097(00)80073-x.

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FUSTER, V. "Myocardial infarction and coronary care units." Journal of the American College of Cardiology 35, no. 5 (April 2000): 49–51. http://dx.doi.org/10.1016/s0735-1097(00)90025-1.

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Fuster, Valentin. "Myocardial infarction and coronary care units." Journal of the American College of Cardiology 34, no. 7 (December 1999): 1851–53. http://dx.doi.org/10.1016/s0735-1097(99)00496-9.

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Callan, Elizabeth, and Martin Irving. "Mobile coronary care units: the Dundee experience." Intensive Care Nursing 1, no. 3 (January 1986): 119–22. http://dx.doi.org/10.1016/0266-612x(86)90088-x.

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McNaughton, G. W., J. P. Wyatt, and J. C. Byrne. "Defibrillation — A Burning Issue in Coronary Care Units!" Scottish Medical Journal 41, no. 2 (April 1996): 47–48. http://dx.doi.org/10.1177/003693309604100205.

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Skin burns are accepted to be a complication of defibrillation, however there is no published data on their frequency, cause and treatment. A postal questionnaire survey was designed to assess the relative frequency of defibrillation burns in coronary care units and identify the possible factors contributing to their occurrence. Treatments prescribed in coronary care units were also noted. The questionnaire was sent to the Senior Sister/Charge Nurse in all 263 coronary care units in the United Kingdom. 232 Replies were received (88.2%). Defibrillation burns were seen in 98.7% of CCU's. Ten contributory factors were proposed. The commonest implicated cause was recurrent defibrillation. The most frequently prescribed topical treatment was 1% silver sulphadiazine cream (Flamazine). Defibrillation burns are relatively common in coronary care units. Many result from recurrent defibrillation and may be unavoidable in the patient undergoing prolonged resuscitation. However there are other identifiable factors which, if avoided, may lead to a reduction in the number of burns seen.
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McLeod, Andrew A., and Percy P. Jokhi. "Pacemaker induced ventricular fibrillation in coronary care units." BMJ 328, no. 7450 (May 20, 2004): 1249–50. http://dx.doi.org/10.1136/bmj.328.7450.1249.

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Grijseels, E. W. M., J. W. Deckers, A. W. Hoes, J. A. M. Hartman, E. van der Does, and M. L. Simoons. "Optimal use of coronary care units: A review." Progress in Cardiovascular Diseases 37, no. 6 (May 1995): 415–21. http://dx.doi.org/10.1016/s0033-0620(05)80021-0.

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Dissertations / Theses on the topic "Coronary care units Victoria"

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Chao, Shir-Ley. "Relationships among patient characteristics, care processes, and outcomes for patients in coronary care units (CCUs)." Thesis, The University of Arizona, 1988. http://hdl.handle.net/10150/276836.

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The purpose of this research was to describe the relationships among patient characteristics, care processes, and care outcomes for patients in a coronary care unit (CCU). The sample consisted of 179 CCU patients. Data collectors reviewed charts and retrieved the chart information needed to measure the operational variables of APACHE II score (Acute Physiology and Chronic Health Evaluation II), years of age, CCU length of stay, nurse to patient ratio, and mortality. Descriptive statistics were used to analyze the demographic data of the patient characteristics. Correlational statistics were used to analyze the five operational variables in the "CCU Patient Outcomes Model." Pearson correlations revealed significant positive relationships between APACHE II score and age and nurse to patient ratio. Point Biserial correlations revealed significant positive relationships between mortality and APACHE II score and nurse to patient ratio. Patient characteristics were related to care processes. Patient characteristics and care processes were related to patient outcomes.
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Lindell, Verone Erickson 1943. "Subjective sleep characteristics of patients hospitalized in a coronary care unit." Thesis, The University of Arizona, 1988. http://hdl.handle.net/10150/276732.

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The purpose of this study was to test the reliability and validity of the Verran and Snyder-Halpern (VSH) Sleep Scale on patients hospitalized in a coronary care unit (CCU) and to investigate the sleep characteristics of patients hospitalized in the CCU setting. Eighteen subjects aged 43 to 78 completed 30 nights of study using the VSH Sleep Scale. Results were compared to means from groups of healthy subjects and subjects hospitalized on general medical-surgical units. The VSH Sleep Scale demonstrated reliability in this group of CCU subjects. Factor analysis showed loadings on four factors rather than the theoretical three factors probably due to small sample size. The mean scores for this sample of CCU patients indicated their nighttime sleep was disturbed and ineffective. Significantly different sleep characteristics were demonstrated between CCU and healthy subjects. Comparisons between CCU and general medical-surgical subjects evidenced no differences in sleep characteristics.
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Forshee, Terri Ann. "The influence of family visits on physiologic responses in coronary care patients /." Thesis, Connect to this title online; UW restricted, 1988. http://hdl.handle.net/1773/7283.

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Spencer, Jessye Davis. "Competencies needed for the beginning level coronary critical care nurse : a Delphi study /." Diss., This resource online, 1994. http://scholar.lib.vt.edu/theses/available/etd-06062008-163419/.

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Quan, Millie. "A retrospective analysis of early progressive mobilization nursing interventions and early discharge among post coronary artery bypass patients." CSUSB ScholarWorks, 2002. https://scholarworks.lib.csusb.edu/etd-project/2129.

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This project offers evidence and data to measure how progressive and sustained mobilization strategies that are implemented by nurses impact early discharge on a single stay Cardiothoracic Intensive Care Unit for patients undergoing first-time Coronary Artery Bypass Surgery (CABG) surgery.
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Rice, Cynthia K. "Design of a patient monitoring system for cardiopulmonary bypass surgery." Thesis, Virginia Polytechnic Institute and State University, 1989. http://hdl.handle.net/10919/50081.

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A patient monitoring system for cardiopulmonary bypass surgery has been developed. This monitoring system uses a SWAN 286-10 computer (fully IBM PC/AT compatible) and a DT280l-A Input/Output board to monitor seven surgical parameters. This system monitors six temperatures, the hemoglobin content, the arterial oxygen saturation, the venous oxygen saturation, the oxygen consumption, and the blood flow rate through the cardiopulmonary bypass circuit. Additionally, there are three individual timers available. Details and the evaluation of the hardware and software design of this monitoring system are presented. Also, recommendations for clinical use are discussed.
Master of Science
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Stenestrand, Ulf. "Improving outcome in acute myocardial infarction : the creation and utilisation of the Register of Information and Knowledge about Swedish Heart Intensive Care Admissions (RIKS-HIA) /." Linköping : Univ, 2002. http://www.bibl.liu.se/liupubl/disp/disp2002/med740s.pdf.

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Legriel, Stéphane. "Cerveau et mort subite : analyse des causes cérébrales et des conséquences neurologiques de l’arrêt cardiaque extra-hospitalier Modalités diagnostiques et problématiques thérapeutiques associées aux arrêts cardio-respiratoires de cause neurologique Modalités de prise en charge, pronostic et déterminants de survenue d’un arrêt cardio-respiratoire après prise en charge d’un état de mal épileptique convulsif." Thesis, Sorbonne Paris Cité, 2019. http://www.theses.fr/2019USPCB014.

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Introduction : la grande majorité des arrêts cardio-respiratoires (ACR) de l’adulte sont provoqués par une cause coronaire. La survenue d’un arrêt cardiaque extra-hospitalier de cause neurologique (ACR-N), notamment de cause épileptique, est un évènement rare et peu étudié dans la littérature médicale. Objectifs : dans un premier travail, nos objectifs étaient de rapporter les modalités diagnostiques, en particulier la réalisation d'une angiographie coronarienne en première intention (iCAG), ainsi que les problématiques thérapeutiques associées, dans une population de patients avec un diagnostic final d’ACR-N. Dans un second travail, notre objectif était d’identifier les facteurs associés à la survenue d’un ACR dans une population de patients adultes pris en charge pour un état de mal épileptique convulsif (EMC). Matériel et méthodes : pour le premier travail, nous avons sélectionné les patients répondants à la définition d’un ACR-N à partir du registre régional du Centre d’Expertise de la Mort Subite (CEMS) de Paris et petite couronne (2011-2015). L’étude de l’association des variables entre les circonstances initiales de survenue de l’ACR-N et une iCAG a été réalisée à l’aide d’un modèle de régression logistique. Pour le second travail, nous avons associé des cas de patients avec un ACR compliquant la prise en charge d’un EMC (ACR-EMC), identifiés dans 17 services de réanimation médicale (2000-2015), avec 235 contrôles issus de la base de données du Centre Hospitalier de Versailles de patients pris en charge pour un EMC sans ACR (2005-2013). L’étude de l’association des variables en lien avec l’EMC et la survenue d’un ACR-EMC a d’abord été réalisée à l’aide d’un modèle de régression logistique comparant les caractéristiques des cas et de contrôles non appariés. Une analyse de sensibilité a ensuite été réalisée après appariement des cas et des contrôles. Résultats : dans le premier travail, nous avons identifié 247 patients avec un ACR-N, au sein d’une population de 3542 patients initialement réanimés avec succès d’un ACR extra-hospitalier, soit 7% des cas. Alors qu’un scanner cérébral était réalisé dans un total de 84% des cas, permettant d'identifier une cause cérébro-vasculaire chez 47% des patients, une iCAG était réalisée chez 23% des patients. La réalisation d’une iCAG était statistiquement associée à la présence d’une élévation du segment ST lors du premier enregistrement électrocardiographique (OR, 5.94; 95%CI, 2.14-18.28; P=0.0009). Huit patients recevaient un traitement anticoagulant et/ou antiagrégant plaquettaire. Dans le second travail, nous avons rapporté 49 cas de patients ayant présenté un ACR-EMC, au sein d’une population de 4438 patients hospitalisés en réanimation pour cette pathologie, soit 1,1% des cas. La réalisation d’une régression logistique multivariée en associant ces 49 cas à 235 patients contrôles a permis d’identifier 4 facteurs associés à survenue de cette complication. L’existence d’au moins une comorbidité parmi les comorbidités cardiaques, respiratoires et neurologiques (autres que l’épilepsie) était négativement associée à la survenue d’un ACR (OR, 0.28; 95%CI, 0.10-0.80, P=0.02), alors qu’une mesure de la saturation pulsée en oxygène (SpO2) < 97% à la prise en charge médicale initiale (OR, 2.66; 95%CI, 1.03-7.26, P=0.04), une cause toxique responsable de l’EMC (OR, 4.13; 95%CI, 1.27-13.53, P=0.02), et la survenue de complications précoces liées à la prise en charge médicale (OR, 11.98; 95%CI, 4.67-34.69, P<0.0001) étaient positivement associées avec l’occurrence de cette complication. Conclusion : ces éléments soulignent l’importance d’une meilleure connaissance du spectre étiologique, en particulier neurologique, des patients présentant un ACR extra-hospitalier. L’identification de ces facteurs est une étape importante afin de pouvoir proposer des modifications des stratégies de prise en charge, avec comme objectif l’amélioration du pronostic vital et fonctionnel de ces patients
Objectives: In a first work, we aimed at reporting diagnostic pitfalls and treatment issues in a population of patients with a final diagnosis of OHCA-NC. In addition, we also aimed at identifying factors associated with immediate coronary angiography (iCAG) during initial etiological diagnostic management. In a second work, our goal was to identify factors associated with the occurrence of cardiopulmonary arrest (CA) in a population of adult patients treated for convulsive status epilepticus (CSE). Material and Methods: In the first work, we performed a retrospective analysis (2011-2015) of all consecutive patients from the Paris Sudden Death Expertise Centre registry (SDEC) to identify patients with OHCA-NC. We described the early diagnostic check-up performed to identify the cause of OHCA-NC. Logistic multivariate regression was performed to identify factors between iCAG and OHCA-NC patients’ characteristics. Sensitivity analysis was carried out after multiple imputation for missing data by means of chained equations. In the second work, we collected data from consecutive patients admitted to the seventeen participating university or university affiliated intensive care units for management of successfully resuscitated (CSE-CA) complicating the initial management of CSE (2000-2015). Patients were compared with 235 controls without OHCA identified in the Centre Hospitalier de Versailles single-center registry of CSE patients (2005-2013). To identify association between factors related to CSE and CSE-CA occurrence, we first compared the cases and unmatched controls using multivariate regression. Then, sensitivity analysis was performed using a propensity score approach based on 1:1 pair matching when estimating the association between CSE and CSE-CA. Moreover, additional analyses were carried out after multiple imputation for missing data by means of chained equations. Results: In the first work, we identified 247 patients with OHCA-NC, in a population of 3542 patients initially successfully resuscitated from an out-of-hospital OHCA, corresponding to 7% of cases. While a brain Computed Tomography (CT) scan was performed in a total of 84% of cases, allowing to identify a neurovascular cause in 47% of patients, iCAG was performed in 23% of patients. We found iCAG statistically associated with the presence of an ST segment elevation during the first electrocardiographic recording (OR, 5.94; 95%CI, 2.14-18.28; P=0.0009). Eight patients received anticoagulant and / or antiplatelet therapy. In the second work, we reported 49 patients with CSE-CA, in a population of 4438 patients hospitalized in intensive care unit for CSE, corresponding to 1.1% of the cases. By multivariate analysis, having at least one comorbidity among cardiac, respiratory, and neurologic (other than epilepsy) was negatively associated with the occurrence of CSE-CA (OR, 0.28; 95%CI, 0.10-0.80, P=0.02), while pulse oximetry less than 97% on scene (OR, 2.66; 95%CI, 1.03-7.26, P=0.04), drug poisoning as the cause of CSE (OR, 4.13; 95%CI, 1.27-13.53, P=0.02), and complications during early management (OR, 11.98; 95%CI, 4.67-34.69, P<0.0001) were positively associated with the occurrence of this complication. Conclusion: These factors underline the importance of a better knowledge of the etiological spectrum, particularly neurological, of patients with out-of-hospital cardiac arrest. The identification of these elements is an important step to propose changes to management strategies, with the objective of improving the vital and functional outcome of these patients
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Viswanathan, Sundeep Yorio Jeffrey. "The Effect of a Disease Management Algorithm and Dedicated Postacute Coronary Syndrome Clinic on Achievement of Guideline Compliance." 2008. http://www4.utsouthwestern.edu/library/ETD/etdDetails.cfm?etdID=389.

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Kindness, Karen. "Evaluation of a protocol to control methicillin resistant staphylococcus aureus (MRSA) in a surgical cardiac intensive care unit." Thesis, 2008. http://hdl.handle.net/10413/9055.

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Introduction. MRSA is a major healthcare problem with particular relevance to morbidity and mortality in ICU (Byers & Decker 2008). Due to the increased infection risks associated with cardiac surgery, MRSA screening and surveillance is widely used as a standard preoperative Investigation In many settings (Teoh, Tsim & Yap, 2008). The results, in conjunction with appropriate hygiene precautions, are used to control and prevent infection with MRSA. Following an outbreak of MRSA in cardiac patients an MRSA protocol (MRSAP) was implemented In the cardiac intensive care unit in this study. Purpose. To evaluate how nurses implement the MRSAP in the surgical cardiac intensive care unit in this study, and to evaluate the change in MRSA infection rates following implementation of the MRSAP. From the results obtained, to identify any areas for improvement in nursing practice with respect to the MRSAP. Methods. Nursing staff knowledge with respect to the MRSAP was assessed using a survey questionnaire. Their compliance with required Infection control practice for control of MRSA was assessed through periods of observation on the unit. Screening compliance and reduction in infection rates were investigated using a retrospective records review. Results. The survey revealed good awareness of the MRSAP (88%, n=23), but knowledge of the detailed content was variable. Most staff were apparently satisfied with the existing standards of infection control in CICU (84.6%, n=22). Observation revealed that, compliance with routine hygiene measures was good (66% correct contacts, n=144) by the standard of other studies, but, given the high risk of postoperative infection for these patients improvements are required. Inadequate data in sampled records prevented meaningful analysis of screening compliance, and hence the systems for handling screening swabs and results need to be reviewed. The change in infection rates between the pre and post MRSAP periods, which incorporated use of infection risk stratification data to demonstrate comparability of the two groups of patients, revealed that despite the high MRSA infection rate in 2005 (1.18%), and subsequent drop post MRSAP (0.35%), the actual number of cases found was too small to test statistically for significant difference. An incidental finding was that female cardiac surgery patients were getting significantly younger (p<0.01). There was a significant decrease in hospital MRSA infection rates for matched periods (p<0.0001 ). Conclusions. Evidence was found to support the efficacy of the MRSAP in the reduction of MRSA infections. Deficits in staff knowledge and infection control practice were identified and feedback has been implemented in order to improve compliance with the MRSAP and maintain the improved infection rates. Further research with respect to implementation of, and compliance with, infection control measures could both improve quality of patient care and decrease the burden of preventable infectious disease such as health care associated infections (HAls) in South Africa.
Thesis (M.N.)-University of KwaZulu-Natal, Durban, 2008.
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Books on the topic "Coronary care units Victoria"

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Alpert, Joseph S. Handbook of coronary care. 5th ed. Boston: Little, Brown, 1993.

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1943-, Francis Gary S., ed. Manual of coronary care. 4th ed. Boston: Little, Brown, 1987.

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McCulloch, Joy. Focus on coronary care. London: Heinemann Medical, 1985.

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McCulloch, Joy. Focus on coronary care. London: Heinemann Medical Books, 1985.

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K, Chung Edward, ed. Cardiac emergency care. 4th ed. Philadelphia: Lea & Febiger, 1991.

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Roger, Dixon. Intensive therapy and coronary care units: Postal survey report. [London]: MARU, 1988.

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Acute cardiac care: Community and hospital management of myocardinal infarction. Oxford: Oxford University Press, 1993.

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P, Lipkin D., ed. Coronary care manual: A practical guide to the management of acute cardiac problems and their subsequent follow-up. Oxford: Oxford University Press, 1993.

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Deal, Jacquelyn. Review of Intensive coronary care. Stamford, Conn: Appleton & Lange, 1996.

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D, Rutherford John, ed. Coronary care medicine: A practical approach. Boston: Nijhoff, 1986.

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Book chapters on the topic "Coronary care units Victoria"

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Goldman, Lee, and Harvey Fineberg. "The Cost-Effectiveness of Coronary Care Units." In Acute Coronary Care, 369–74. Boston, MA: Springer US, 1985. http://dx.doi.org/10.1007/978-1-4613-3828-4_38.

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Gong, Kaidi, and Xiaolei Xie. "An Interpretable Ensemble Model of Acute Kidney Disease Risk Prediction for Patients in Coronary Care Units." In Lecture Notes in Operations Research, 76–90. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-90275-9_7.

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de Lorgeril, Michel, and Patricia Salen. "Dietary Intervention in Coronary Care Units and in Secondary Prevention." In Acute Coronary Syndromes: A Companion to Braunwald's Heart Disease, 344–60. Elsevier, 2011. http://dx.doi.org/10.1016/b978-1-4160-4927-2.00031-1.

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Bonnefoy-Cudraz, Eric, and Tom Quinn. "Intensive cardiovascular care units: structure, organization, and staffing." In The ESC Textbook of Intensive and Acute Cardiovascular Care, edited by Marco Tubaro, Pascal Vranckx, Eric Bonnefoy-Cudraz, Susanna Price, and Christiaan Vrints, 11–24. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780198849346.003.0003.

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The nature and complexity of acute cardiovascular care has changed markedly since the early days of the coronary care unit (CCU), introduced in the 1960s to prevent and treat life threatening arrhythmias associated with acute myocardial infarction. In the present day, the patient population is older, has more multimorbidity, comprises a range of conditions alongside critical cardiovascular disease and associated multi-organ failure, requiring increasingly sophisticated management. To reflect this, the Acute Cardiovascular Care Association (ACCA) published a comprehensive update of recommendations in 2018, developed by a multinational working group of experts. These recommendations, which inform this chapter, address the definition, structure, organisation and function of the contemporary intensive cardiovascular care unit (ICCU). Reflecting the modern casemix, three levels of acuity of care are described, and corresponding requirements for ICCU organisation defined. Recommendations on ICCU staffing (medical, nursing and allied professions), equipment and architecture, are presented, alongside considerations of the role of the ICCU within the wider hospital and cardiovascular care network.
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Peavie, Shawn, and Mercedes Falciglia. "Case 63: Failure to Coordinate Diabetes Care between Hospital and Ambulatory Settings: A Threat to Safe and Quality Patient Care." In Diabetes Case Studies: Real Problems, Practical Solutions, 237–39. American Diabetes Association, 2015. http://dx.doi.org/10.2337/9781580405713.63.

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A 61-year-old man with a history of type 2 diabetes, chronic kidney disease, stroke, vascular dementia, hypertension, coronary artery disease, and depression presented to the hospital from a nursing home with altered mental status and weakness. The patient had been residing in a nursing home due mainly to dementia. On admission, he and his wife reported he had been experiencing altered mental status with increasing confusion over the past few months. On admission to the hospital, his ambulatory insulin regimen from the nursing home was continued. This regimen consisted of glargine 15 units subcutaneous every night and lispro 4 units subcutaneous with each meal, as well as a correction scale of 1 unit for every 50 mg/dL (2.8 mmol/L) >150 mg/dL (8.3 mmol/L).
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Vrints, Christiaan, Janina Stepinska, and Marc J. Claeys. "Chest pain in the emergency department and the chest pain unit." In The ESC Textbook of Intensive and Acute Cardiovascular Care, edited by Marco Tubaro, Pascal Vranckx, Eric Bonnefoy-Cudraz, Susanna Price, and Christiaan Vrints, 88–102. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780198849346.003.0010.

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The diagnosis and assessment of acute chest pain remain challenging. Inappropriate discharge of patients with unrecognised life-threatening acute cardiovascular disease such as acute myocardial infarction or acute aortic syndromes from the hospital can result in potentially avoidable death. By contrast, routine hospital admission of patients with non-significant chest pain can lead to unnecessary investigations and interventions, with associated potential harm and increased healthcare costs. As only a small minority of the patients presenting with acute chest pain will ultimately be diagnosed with an acute coronary syndrome or another life-threatening acute cardiovascular syndrome it is essential to use rapid and straightforward diagnostic methods that allow accurate identification of high-risk chest pain patients and safe and early discharge of low risk patients in order to avoid congestion in the emergency department. Triage and diagnosis of patients presenting with acute chest pain should rely on careful history taking, judicious interpretation of the 12 lead ECG on presentation and the use of rapid rule-in/rule out diagnostic algorithms of acute myocardial infarction using high sensitivity cardiac troponin assays for the detection of myocardial cell necrosis. Chest pain units (CPU) are organizational short-stay units with specific management protocols designed to facilitate and optimize the diagnosis of patients presenting with chest pain. Implementation of CPU has results in increased adherence to guidelines and an improved clinical outcome.
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Kelly, Sean P., and Radhika P. Grandhe. "Gastric Ulcer Bleed with a History of Coronary Artery Disease, Hypertension, and Hyperlipidemia." In Anesthesiology: A Problem-Based Learning Approach, edited by Tracey Straker and Shobana Rajan, 59–66. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190850692.003.0007.

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Gastrointestinal (GI) bleed may be encountered fairly commonly by anesthesiologists in routine clinical practice in various settings such as the emergency room, operating rooms, remote nonoperating room locations, and intensive care units. The most common cause of GI bleed is peptic ulcer bleed from the duodenum or stomach. GI bleed can quickly progress to a shock state if not managed promptly and adequately. These patients also suffer from various comorbidities such as coronary artery disease, pulmonary issues, malnutrition, liver disease, hematologic abnormalities, and so on, which calls for comprehensive evaluation and management despite time constraints. Care coordination and communication among various specialists and across multiple settings is essential for optimal outcome in this subset of patients. With advent of advanced endoscopic and interventional radiology techniques, the need for open surgery to control GI bleed is rare in modern-day clinical practice.
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Rivera, Kathya, Kenneth Cusi, and Catherine Edwards. "Case 35: Cosecreting Adrenal Tumor Causing Severe Insulin Resistance." In Diabetes Case Studies: Real Problems, Practical Solutions, 124–29. American Diabetes Association, 2015. http://dx.doi.org/10.2337/9781580405713.35.

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A 38-year-old Caucasian woman was referred to our care with a presumed diagnosis of primary hyperaldosteronism and an associated large adrenal mass. She was found by her primary care physician (PCP) to have severe hypokalemia on routine lab work although she was completely asymptomatic. Past medical history included osteoporosis, hyperlipidemia, meningioma, seizure disorder, and hypothyroidism. Family history included type 2 diabetes (T2D), hypertension, dyslipidemia, and coronary heart disease. Medications at the time of endocrine evaluation included KCl 40 mEq p.o. q.i.d., diltiazem 60 mg p.o. q.i.d., losartan 25 mg p.o. daily, spirinolactone 50 mg p.o. daily, insulin glargine 45 units subcutaneously b.i.d., insulin aspart 26 units subcutaneously before meals, and a correction scale and pioglitazone 15 mg daily. On examination, blood pressure was 177/90 mmHg and pulse was 112 bpm. She was 4′ 9″ tall, weighed 36 kg and had a BMI of 17.2 kg/m2. Physical examination revealed a young female with a round face, bilateral clavicular fullness, and proximal muscle wasting of the extremities but no acanthosis nigricans, facial plethora, acne, bruises, hirsutism, central obesity, or purple striae.
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Schwitter, Juerg, and Jens Bremerich. "Cardiac magnetic resonance in the intensive and cardiac care unit." In The ESC Textbook of Intensive and Acute Cardiovascular Care, edited by Marco Tubaro, Pascal Vranckx, Eric Bonnefoy-Cudraz, Susanna Price, and Christiaan Vrints, 246–64. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780198849346.003.0021.

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Current applications of cardiac magnetic resonance offer a wide spectrum of indications in the setting of acute cardiac care. In particular, cardiac magnetic resonance is helpful for the differential diagnosis of chest pain through the detection of ischaemia, myocardial stunning, myocarditis, including chemotherapy-induced myocarditis, and pericarditis. Also, Takotsubo cardiomyopathy and acute aortic diseases can be evaluated by cardiac magnetic resonance and are important differential diagnoses in patients with acute chest pain. In patients with restricted windows for echocardiography, according to guidelines, cardiac magnetic resonance is the method of choice to evaluate complications of an acute myocardial infarction. In an acute myocardial infarction, cardiac magnetic resonance allows for unique characterization of myocardial damage by quantifying necrosis, microvascular obstruction, oedema (i.e. areas at risk), and haemorrhage. These features will help us to understand better the pathophysiological events during infarction and will also allow us to assess new treatment strategies in acute myocardial infarction. To which extent the information on tissue damage will guide patient management is not yet clear, and further research is ongoing to address this issue. Recent studies also demonstrated the possibility to reduce costs in the management of acute coronary syndromes when cardiac magnetic resonance is integrated into the routine work-up. In the near future, applications of cardiac magnetic resonance will continue to expand in acute cardiac care units, as manufacturers are now strongly focusing on this aspect of user-friendliness. Finally, in the next decade or so, magnetic resonance imaging using other nuclei, such as fluorine and carbon, might become a reality in clinics, which would allow for metabolic and targeted molecular imaging with excellent sensitivity and specificity.
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Conference papers on the topic "Coronary care units Victoria"

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Mauri, F. "EFFECTIVENESS OF INTRAVENOUS THROMBOLYTIC TREATMENT IN ACUTE MYOCARDIAL INFARCTION:SHORT AND MEDIUM TERM PROGNOSIS." In XIth International Congress on Thrombosis and Haemostasis. Schattauer GmbH, 1987. http://dx.doi.org/10.1055/s-0038-1643624.

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An unblinded trial of intravenous stretokinase in early acute myocardial infarction was planned to study wheter the drug produces a clinically relevant benefit in terms of reduction of in-hospital and one year mortality.11806 pts in one hundred and seventy six coronary care units were enrolled over 17 months.Patients admitted within 12 h after o.nSet of symptons and with no contraindications to SK were randomized to receive SK in addition to usual treatment and complete data were obtained in 11712 for what concerns in hospital prognosis.At 21 days overall hospital mortality was 10.7% in SK recipients versus 13%,in controls,an 18% reduction(p=0.0002,relative risk 0.81).The extent of beneficial effect appears to be a function of time from onset of pain to SK infusion(relative risk 0.74,0.80, 0.87 and 1.19 for the 0-3,3-6,6-9 and 9-12 h subgroups).The data of 1-year follow-up concerning 11605 pts(95.3% of the whole population)were available up to December the 31st.1987.4333 pts out of the SK-treated group(74.0%)and 4219 out of the control one (72.1%)were alive,with a significant difference.These results document that the benefit produced by SK in the hospital period remains substantially unchanged.The differences in mortality in favour of SK vs.C remain highly significant specifically for the 0-3 and 3-6 hrs subgroups and is dramatic for patients treated between one hour from onset of symptoms. 503 out of the 637 treated with SK were alive at 1-year follow-up versus 443 out of 641 control group pts:the amplitude of the benefit seems to be further increased in this particular subgroup.The GISSI results document conclusively that an acute thrombolytic treatment with SK in AMI is effective in reducing mortality not only over the short,but also over the medium period.
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