Arrhythmia Literature Summaries
Arrhythmia Literature Summaries
Arrhythmia Literature Summaries
Reviewed and revised 12/6/12 Afterload = left ventricular wall tension required to overcome resistance to ejection (impedance to ejection of blood from the heart into the arterial circulation). developed as ventricular muscle fibres shorten during isovolumetric contraction & ejection phases…
Percutaneous coronary intervention (PCI) is the preferred emergency reperfusion strategy in most cases of ST elevation myocardial infarction (STEMI)
Coronary artery disease accounts for > 30% of death in West and presents acutely as acute coronary syndromes. Acute coronary syndrome (ACS) is a catch all term that refers to ischemic symptoms resulting from acute coronary occlusion
Acute Coronary Syndromes (ACS) Literature Summaries
Open Chest Management (OCM) and Delayed Sternal Closure (DSC) is used following 1-4% of surgical procedures involving cardiotomy in adults, and more commonly in paediatrics
AHA/ACC Guidelines (2007) – Perioperative Cardiovascular Evaluation of the Patient undergoing Non-cardiac Surgery Take Home Message = if assessment and evaluation not indicated irrespective of perioperative context then just crack on (its all about symptoms). 3 factors involved in risk…
Emergent Valve Disorders: regurgitation most common; acute or acute on chronic valve dysfunction; acute on chronic often precipitated by increase in metabolic or haemodynamic requirements (sepsis, bleeding, pregnancy).
Aortic regurgitation is diastolic reflux of blood from aorta to LV due to malposition of the aortic cusps.
Contractility = the change in force generated independent of preload. Inotropy and contractility are essential synonymous — inotropes are agents that increase contractility.
Arguments for and against Compression Only CPR
Basic summary of Circulation Assessment