Acute Coronary Care: Principles and Practice

Front Matter....Pages i-xviii
Front Matter....Pages 1-1
Factors that Regulate Transmural Myocardial Blood Flow Distribution....Pages 3-8
The Relationship Between Coronary Blood Flow and Reversible and Irreversible Ischemic Injury....Pages 9-20
Energy Metabolism and Transport in the Ischemic and Postischemic Myocardium....Pages 21-31
The Pathophysiology of Atherosclerosis of the Coronary Arteries and the Changes that Predispose to Ischemic Heart Disease....Pages 33-39
The Role of Coronary Artery Spasm in Acute Ischemic Syndromes....Pages 41-53
The Role of Thrombosis in Acute Myocardial Ischemic Syndromes....Pages 55-60
The Biochemistry of Thrombolytic Agents....Pages 61-66
Clinical Pharmacology of Streptokinase....Pages 67-74
Terminology for Location of Acute Myocardial Infarcts....Pages 75-79
Subendocardial Versus Transmural Infarction....Pages 81-89
Hemodynamic Abnormalities in Acute Myocardial Infarction....Pages 91-96
Autonomic Imbalance During Acute Myocardial Ischemia and Infarction....Pages 97-103
Front Matter....Pages 105-105
The Changing Prognosis of Patients with Unstable Angina and Acute Myocardial Infarction....Pages 107-111
Risk Factors that Predict Fatal and Nonfatal Cardiac Events....Pages 113-120
The Role of Nutrition in Atherogenesis and Acute Myocardial Infarction....Pages 121-133
The Role of Antithrombotic Therapy in the Acute Ischemic Syndromes....Pages 135-144
Clinical Trials of Modification of Mortality During Acute Myocardial Infarction....Pages 145-155
Front Matter....Pages 157-157
Serum CK-MB in Diagnosis and Assessment of Acute Myocardial Infarction....Pages 159-165
The Ability of the QRS Complex to Determine the Location and Size of Myocardial Infarcts....Pages 167-178
Radionuclide Techniques for Diagnosing and Sizing of Myocardial Infarction....Pages 179-187
Front Matter....Pages 157-157
The Clinical Diagnosis of Right Ventricular Infarction....Pages 189-199
Front Matter....Pages 201-201
Hemodynamic Monitoring in Acute Myocardial Infarction....Pages 203-210
The Use of Echocardiographic Techniques for Determining Cardiac Function During Acute Myocardial Infarction....Pages 211-223
The Potential Usefulness of Doppler Ultrasound in Myocardial Infarction....Pages 225-232
The Use of Serial Radionuclide Angiography for Monitoring Function During Acute Myocardial Infarction....Pages 233-242
Tachyarrhythmias During Acute Myocardial Infarction and Options for their Electrical Management....Pages 243-255
Front Matter....Pages 257-257
The Tiered Response Mobile Intensive Care System in the Managment of Out-of-Hospital Cardiac Arrest....Pages 259-264
The First Hour of Acute Myocardial Infarction Observed During Mobile Intensive Care....Pages 265-279
Cost Effectiveness of Mobile Intensive Care Unit for an Entire Community....Pages 281-286
Front Matter....Pages 287-287
Optimal Identification of the Patient with Acute Myocardial Ischemia in the Emergency Room....Pages 289-298
Achieving Pain Relief with Physiologic Management and Analgesic Agents During Acute Myocardial Infarction....Pages 299-309
The Use of Intravenous Antiventricular Arrhythmic Agents During Acute Myocardial Infarction....Pages 311-319
The Clinical Use of Thrombolytic Agents....Pages 321-334
Methods for Detecting Salvage of Jeopardized Myocardium Following Intracoronary Thrombolysis in Acute Myocardial Infarction....Pages 335-341
The Role of Surgery in Unstable Angina Pectoris and Acute Myocardial Infarction....Pages 343-352
Front Matter....Pages 353-353
The Evolution of Care of Patients with Unstable Angina and Myocardial Infarction....Pages 355-358
Organization and Administration of the Cardiac Care Unit....Pages 359-368
The Cost-Effectiveness of Coronary Care Units....Pages 369-374
Front Matter....Pages 375-375
The Optimal Use of Temporary Pacing During Acute Myocardial Infarction....Pages 377-385
Drug Interactions in Coronary Care....Pages 387-394
Front Matter....Pages 375-375
The Use of β-Adrenergic and Calcium-Blocking Drugs During Acute Myocardial Ischemia and Infarction....Pages 395-401
Respiratory Care for Patients with Acute Myocardial Ischemia....Pages 403-409
Optimal Regulation of Preload and Afterload During Acute Myocardial Infarction....Pages 411-426
The Medical Management of Cardiogenic Shock Due to Myocardial Necrosis....Pages 427-437
Surgical Treatment of Cardiogenic Shock Following Acute Myocardial Infarction....Pages 439-447
Myocardial Infarct Expansion and Extension....Pages 449-458
Pericarditis Following Myocardial Infarction....Pages 459-461
Preparation of the Patient, Family and Staff for Imminent Death on a Coronary Care Unit....Pages 463-469
Front Matter....Pages 471-471
Determination of the Optimal Time for Patient Mobilization and Hospital Discharge Following Acute Myocardial Infarction....Pages 473-478
Identification and Prophylactic Treatment of Patients at High Risk of Late Postinfarction Sudden Death....Pages 479-481
The Quantification of Residual Ischemia in Patients Recovering from Acute Myocardial Infarction by Exercise Thallium-201 Scintigraphy....Pages 483-494
The Value of Radionuclide Angiography for Risk Assessment of Patients Following Acute Myocardial Infarction....Pages 495-503
Optimal Use of Ambulatory Monitoring Prior to Hospital Discharge Following Acute Myocardial Infarction....Pages 505-510
Electrophysiologic Testing to Identify High-Risk Patients After Acute Myocardial Infarction....Pages 511-516
Strategies for Assessing the Risk Status of Patients Following Acute Myocardial Infarction or Unstable Angina....Pages 517-527
Front Matter....Pages 529-529
The Role of Outpatient Transtelephonic ECG Monitoring and Self-Medication Following Acute Myocardial Infarction....Pages 531-536
Minimizing Psychological Stress for Patients and Family Following Acute Myocardial Infarction....Pages 537-540
Minimizing Disability and Optimizing Return to Work Following Acute Myocardial Infarction....Pages 541-548
Back Matter....Pages 549-556