摘要:

Cost containment has placed new demands on emergency clinicians to quickly and accurately diagnose patients with myocardial infarction and unstable angina without hospital admission. This article reviews the current studies of cardiac markers and their limited role in the evaluation of chest pain patients in the emergency department.

ISSN:0164-2340    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

Blunt cardiac trauma is a well-known and often-seen entity in emergency departments that can be difficult to diagnose and treat. Signs and symptoms are often nonspecific and controversy exists as to which diagnostic tests are appropriate. Blunt cardiac trauma can lead to contusions and concussions, hematomas, conduction disturbances, aneurysms, rupture, pericardial injury, vascular injury, and commotio cordis. Specific tests recommended depend on presenting signs and symptoms, hemodynamic stability, coronary artery disease history, and initial electrocardiogram changes. This article describes the pathophysiology, epidemiology, diagnosis, and treatment of blunt cardiac trauma. An algorithm is also presented to facilitate initial treatment plans in blunt cardiac trauma.

ISSN:0164-2340    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

More than 2,000 cases of thoracic aortic dissection occur in the United States each year. The diagnosis is considered in patients with anterior chest pain or back pain of a "tearing" nature. Imaging studies to confirm the diagnosis include CAT scan, MRI scan, angiography, or ultrasound. Proximal dissections are treated surgically, while distal dissections are initially managed conservatively.

ISSN:0164-2340    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

Emergency departments (EDs) frequently evaluate and manage patients with drug toxicity. One of the most challenging aspects of this management is the cardiovascular effects. This article describes some of the most common overdoses involving several prescription medications and the currently most popular abused sympathomimetic drugs.

ISSN:0164-2340    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

Coronary heart disease kills as many women yearly as it does men. This article names two barriers to the identification and timely treatment of women with coronary heart disease: (1) unrecognized symptoms, and (2) variation of disease pathogenesis. Research that includes women as subjects will help to distinguish the disease pathogenesis differences between genders. Unrecognized symptoms must be addressed in three ways. First, educate women about the nature and extent of their risk of heart disease. Second, use the scant but burgeoning knowledge that differentiates women's presentation and risk factors from those of men. Finally, eliminate system and clinician bias when evaluating women with symptoms potentially attributable to coronary heart disease.

ISSN:0164-2340    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

Acute valvular emergencies are potentially lethal but treatable conditions. Prompt diagnosis and correct treatment are essential to prevent high morbidity and mortality. The article reviews the common valvular emergencies. The roles of physical diagnosis, emergent echocardiography, initial medical therapy, and prompt surgical intervention are discussed.

ISSN:0164-2340    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

Death rates for coronary heart disease are higher among black people than among white people, yet black individuals are less likely to receive bystander cardiopulmonary resuscitation (CPR). Why this problem exists is unclear. This study developed, refined, and tested a questionnaire to identify the number of individuals trained to do CPR, willingness to perform CPR, and potential barriers to performance. This survey was mailed to two urban neighborhoods with a high proportion of African American residents. Results revealed barriers to the performance of CPR. Both African American and white groups indicated equal willingness to perform CPR on anyone without distinction related to race.

ISSN:0164-2340    

出版商:OVID    

年代:2000

数据来源: OVID

ISSN:0164-2340    

出版商:OVID    

年代:2000

数据来源: OVID

ISSN:0164-2340    

出版商:OVID    

年代:2000

数据来源: OVID

ISSN:0164-2340    

出版商:OVID    

年代:2000

数据来源: OVID